Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is enlarged . The hilar contours are within normal limits . The lungs are hyperinflated likely secondary to COPD . The lungs are clear with no focal consolidation . There are small bilateral pleural effusions . There is no evidence of pneumothorax . No displaced rib fractures are identified . Chronic deformity of the left humeral neck appears unchanged .
    OUTPUT:
    
Cardiomegaly , COPD , bilateral small pleural effusions .