Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right Port - A - Cath is present with the tip at the cavoatrial junction . The lungs are hyperinflated , consistent with emphysema . There is bibasilar scarring and atelectasis , similar to the prior exams . There is no focal airspace consolidation to suggest pneumonia . There is no pulmonary edema . Blunting of the bilateral costophrenic angles suggests new tiny pleural effusions . There is no pneumothorax . The cardiomediastinal silhouette is normal .
    OUTPUT:
    
New tiny bilateral pleural effusions . No evidence of pulmonary edema or pneumonia .