Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The aorta demonstrates diffuse atherosclerotic calcifications and unchanged mild tortuosity . Mediastinal and hilar contours are otherwise within normal limits . Lungs remain hyperinflated with mild emphysematous changes again demonstrated . Small left pleural effusion appears not substantially changed in the interval with left basilar opacity likely reflective of compressive atelectasis . No large right pleural effusion is demonstrated , and no pneumothorax is detected . Dextroscoliosis of the thoracolumbar spine is again noted . Marked degenerative changes of both glenohumeral joints as well as a narrowed right acromiohumeral interval is suggestive of rotator cuff disease . Remote right - sided tenth rib fracture is again noted .
    OUTPUT:
    
Unchanged small left pleural effusion with left basilar opacity , likely compressive atelectasis . Infection can not be completely excluded in the correct clinical setting .