Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear of consolidation , edema , or pneumothorax . Small bilateral pleural effusions are seen with blunting of the posterior costophrenic angles . The cardiomediastinal silhouette is within normal limits . Degenerative changes noted at the left shoulder and there is a mid thoracic dextroscoliosis . Cervicothoracic posterior fixation hardware is partially visualized . Surgical clips in the right upper quadrant suggest prior cholecystectomy .
    OUTPUT:
    
Small bilateral pleural effusions . No acute cardiopulmonary process .