Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is probable background hyperinflation . The heart is not enlarged . There are increased interstitial markings most pronounced in the mid and lower zones with probable volume loss at the right base . There is also some confluent opacity at the right base and a tiny right effusion . On the left , there is a small effusion with underlying collapse and / or consolidation . There is relative sparing of the upper zones , though there is suggestion of emphysematous changes there . No CHF . Multiple tiny nodular densities are suggested in both lungs . No pneumothorax detected .
    OUTPUT:
    
Small left - greater - than - right pleural effusions and underlying collapse and / or consolidation . Increased interstitial markings on background emphysematous change . Multiple tiny nodular opacities noted in both lungs . Please see report of ___ chest CTA for additional findings and more complete description .