Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Calcification of the aortic knob is again noted . Right hilar calcified lymph node is again seen . There is no pneumothorax . There is a new small right pleural effusion . Blunting of the left costophrenic angle may also reflect a small effusion or pleural thickening . The lungs are well expanded and clear without focal consolidation .
    OUTPUT:
    
No new focal consolidation . New small right pleural effusion and possible left pleural effusion .