Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is top - normal . The hilar and mediastinal contours are normal . The lungs are well expanded and clear . There has been interval resolution of bilateral pleural effusions . There is no pneumothorax . Multilevel degenerative changes are noted in the thoracic spine . No areas concerning for rib fracture are appreciated .
    OUTPUT:
    
No pneumothorax . Interval resolution of bilateral pleural effusions . If concern for rib fracture , dedicated rib series is recommended . These findings were discussed with Dr . ___ by Dr . ___ ___ telephone on ___ at 4 :30 PM , 15 minutes after time of discovery .