Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided demonstrate small bilateral pleural effusions , increased from prior exam with probable mild compressive lower lobe atelectasis . The heart size is top normal . Aortic arch calcifications noted . There is no pneumothorax . No definite signs of pulmonary edema . Bony structures are intact .
    OUTPUT:
    
Small pleural effusions appear increased from prior exam . Top normal heart size .