Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single frontal supine image of the chest was obtained . The patient is extremely rotated , limiting evaluation . There is no definite consolidation or pulmonary edema . There are probable small bilateral pleural effusions . Within the limitations of the supine technique , there is no evidence of pneumothorax . The trachea is diffusely calcified . The cardiomediastinal silhouette is not well evaluated due to rotation , although no gross abnormalities are identified .
    OUTPUT:
    
Extremely limited evaluation due to technique and patient positioning . There are probable small bilateral pleural effusions . No evidence of pneumonia .