Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear . There is a small left pleural effusion vs . pleural thickening . There is no right pleural effusion . Cardiomediastinal silhouette is unremarkable . There is no pneumothorax . No fracture is seen .
    OUTPUT:
    
Small left pleural effusion vs pleural thickening . No fracture seen .