Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Small bilateral pleural effusions are present . Hyperexpansion is moderate . There is no focal consolidation , pneumothorax , or pulmonary edema . The cardiomediastinal silhouette is within normal limits . There is diffuse demineralization .
    OUTPUT:
    
Small bilateral pleural effusions and mild hyperexpansion . No focal consolidation .