Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are persistent small bilateral pleural effusions , not significantly changed . There is no focal consolidation worrisome for infection . Small hiatal hernia is noted . The cardiomediastinal silhouette is stable . Atherosclerotic calcifications noted at the aorta . Mid thoracic compression deformities are unchanged .
    OUTPUT:
    
No significant interval change . Persistent small bilateral effusions .