Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . There are small to moderate bilateral pleural effusions . The cardiomediastinal silhouette is within normal limits for technique . There is mild pulmonary vascular congestion . No acute osseous abnormalities are seen noting degenerative changes of the shoulder girdles bilaterally .
    OUTPUT:
    
Small to moderate bilateral effusions . Please note that ___ consolidation can not be completely excluded .