Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation or pneumothorax . Small bilateral pleural effusions are unchanged since the prior exam . Prominence of the hila bilaterally which may be due to hilar congestion is also unchanged . Mitral annular calcifications are noted . The heart remains moderately enlarged . Unchanged degenerative changes of the thoracic spine .
    OUTPUT:
    
No change since the prior radiograph in probable small bilateral pleural effusions and bilateral hilar prominence , likely due to vascular congestion .