Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear . The cardiomediastinal and hilar contours are unremarkable . There is moderate aortic tortuosity , unchanged . A small right - sided pleural effusion is unchanged . There is no pneumothorax . Sternotomy wires are intact . Multiple fractures in early stages of healing are noted in the right rib cage .
    OUTPUT:
    
Stable small right sided pleural effusion .