Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest provided . The lungs appear essentially clear bilaterally . There are small bilateral effusions . Heart size is top normal . Aortic atherosclerotic calcifications noted . No pneumothorax . Bony structures demineralized , though appear intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Small bilateral effusions and top normal heart size . Please refer to subsequent CT torso for further details .