Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Shallow inspiration accentuates heart size . Mild increase of pulmonary vascularity , improved . Large esophageal hiatal hernia , similar . New small left pleural effusion . Left basilar atelectasis or infiltrate . Stable right basilar atelectasis . Mitral annular calcification . Degenerative changes spine . Thoracolumbar curve .
    OUTPUT:
    
New small left pleural effusion , left basilar atelectasis or infiltrate .