Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains mildly enlarged . The aortic knob is calcified . Mediastinal and hilar contours are unremarkable . Pulmonary vasculature is not engorged . Scarring within the lung apices is re - demonstrated along with lung hyperinflation . There are new small bilateral pleural effusions , larger on the left , with associated bibasilar patchy atelectasis . No pneumothorax is not identified . Smooth curvilinear opacity projecting over the left upper chest is unchanged , likely reflective of overlying soft tissues . There are mild to moderate degenerative changes again seen in the thoracic spine .
    OUTPUT:
    
New small bilateral pleural effusions , larger on the left , with bibasilar atelectasis .