Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are low . Small bilateral pleural effusions are seen . Bibasal atelectasis is present . Mild prominence of the bronchovascular markings relate to the low lung volumes . The cardiomediastinal and hilar contours are stable . Moderate degenerative changes and kyphosis of the thoracic spine are noted .
    OUTPUT:
    
Low lung volumes , with a small bilateral pleural effusions .