Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is top normal with tortuosity of the thoracic aorta . Hilar contours are unremarkable . Small bilateral pleural effusions with associated bibasilar atelectasis are similar in appearance to ___ . Multiple bilateral expansile lytic rib lesions are better evaluated on recent CT examination and are responsible for scattered increased opacities in the lung fields , particularly over the left mid lung . There is no pneumothorax .
    OUTPUT:
    
No significant change compared to ___ with redemonstration of small bilateral effusions , atelectasis and multiple expansile lytic rib lesions .