Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac and mediastinal silhouettes are stable . There are relatively low lung volumes . The right costophrenic angle is not fully included on the image and AA small right pleural effusion would be difficult to exclude . No large pleural effusion seen . No evidence of pneumothorax . No definite lobar consolidation . Hardware again noted in the cervical spine .
    OUTPUT:
    
Right costophrenic angle not fully included on the image . Otherwise , no definite interval change .