Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Lower lung volumes seen on the current exam . There are bilateral effusions , moderate on the right and small - to - moderate on the left . Superiorly , the lungs are clear . Cardiomediastinal silhouette is accentuated by low lung volumes . Atherosclerotic calcifications seen at the arch . Multiple right - sided rib fractures laterally appear old . There is no pneumothorax .
    OUTPUT:
    
Left greater than right pleural effusions .