Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low . Opacities at the lung bases are suggestive of emphysema and interstitial lung disease better , seen on recent CT from ___ , which are unchanged from the prior radiograph . The cardiomediastinal silhouette and hilar contours are normal . There are small bilateral pleural effusions , which are new from ___ . There is no pneumothorax . Surgical clips are seen in the left axilla .
    OUTPUT:
    
Small bilateral pleural effusions , new since most the recent study . No evidence of pneumonia or pulmonary edema .