Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is mildly enlarged . The aorta is tortuous and calcified . Pulmonary vascularity is normal and the hilar contours are unremarkable . There is minimal blunting of the costophrenic angles bilaterally compatible with small effusions , decreased in size compared to the prior exam . No focal consolidation or pneumothorax is seen . Multilevel degenerative changes in the thoracic spine are present with anterior osteophyte formation .
    OUTPUT:
    
Small bilateral pleural effusions , decreased from the prior exam . No focal consolidation to suggest pneumonia .