Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There bilateral pleural effusions which are small but perhaps minimally enlarged since prior . Associated streaky right basilar opacity is likely atelectasis . Superiorly , the lungs are clear without consolidation . Given patient 's rotation , cardiomediastinal silhouette is unchanged . Multiple left rib fractures , specifically affecting ribs 3 through 9 are again noted . Severe mid thoracic compression deformity is again noted . Bilateral clavicular fractures are noted as well as partially visualized hardware in the proximal right humerus .
    OUTPUT:
    
Small bilateral effusions and right basilar atelectasis , infection not excluded . No definite superimposed acute cardiopulmonary process .