Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac , mediastinal and hilar contours are normal . The pulmonary vasculature is normal . Blunting of the costophrenic angles bilaterally suggests the presence of a trace bilateral pleural effusions , unchanged . Lungs remain hyperinflated . No focal consolidation , pneumothorax or pulmonary vascular congestion is demonstrated . Remote fractures of the right - sided ribs are present .
    OUTPUT:
    
No interval change from prior radiograph . Small bilateral pleural effusions .