Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes are again noted with crowding of the bronchovascular markings . Blunting of the posterior costophrenic angles suggest small effusions . There is no confluent consolidation . The cardiomediastinal silhouette is within normal limits . Drain in the right upper quadrant is noted . Compression deformity in the upper lumbar spine is partially visualized , unchanged
    OUTPUT:
    
Small effusions without focal consolidation .