Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains mildly enlarged with a left ventricular predominance . The aorta is tortuous and diffusely calcified . The mediastinal and hilar contours are otherwise unremarkable . Pulmonary vasculature is not engorged . Small bilateral pleural effusions are similar in size compared to the prior study . There is associated atelectasis in the lung bases . No new focal consolidation or pneumothorax is present . Lungs remain hyperinflated suggestive of COPD . Multiple compression deformities are again seen within the imaged thoracolumbar spine , some of which have undergone vertebroplasty .
    OUTPUT:
    
Small bilateral pleural effusions with bibasilar atelectasis . Unchanged compression deformities within the thoracolumbar spine .