Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable upright chest radiograph . There is a small right partially loculated pleural effusion with extension into the fissure . No pneumothorax identified . Unchanged small left pleural effusion identified . There is unchanged large right upper lobe opacification . Cardiomediastinal and hilar contours are unchanged .
    OUTPUT:
    
No pneumothorax . Small right partially loculated pleural effusion at the right apex . Small left pleural effusion .