Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperexpanded with increased retrosternal clear space , compatible with underlying chronic COPD . Right pleural fluid has increased since ___ , but is similar to ___ with fluid in the right major fissure and small adjacent atelectasis . A left pleural effusion is tiny . A calcified granuloma is seen in the right mid lung . Right apical thickeing is similar . There is no focal consolidation or pneumothorax . Cardiac and mediastinal silhouettes and hilar contours are stable with mild cardiomegaly . A catheter projects over the right hemiabdomen , presumably the cholecystostomy tube .
    OUTPUT:
    
1 . Small bilateral pleural effusions , right more than left , are increased since ___ . 2 . No pneumonia or edema .