Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal silhouette is within normal limits . No focal consolidation or pulmonary edema . Small bilateral effusions are noted . Coarsening of the bronchovascular markings and hyperinflation is stable . No pneumothorax . Degenerative changes of the bilateral shoulders are again noted .
    OUTPUT:
    
No focal consolidation concerning for pneumonia . Small bilateral effusions .