Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Hazy right basilar opacity at the cardiophrenic angle on the frontal view is compatible with a fat pad identified on prior CT . There are small bilateral effusions at the posterior costophrenic angles . Superiorly , the lungs are clear without evidence consolidation or pulmonary vascular congestion . Cardiac silhouette is enlarged . Hypertrophic changes seen in the spine as well severe potentially posttraumatic changes at the left glenohumeral joint .
    OUTPUT:
    
No definite acute cardiopulmonary process . Small bilateral pleural effusions .