Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size top normal and stable . Prominence of the pulmonary vessels is seen without evidence of pulmonary edema . There is a small right pleural effusion . No focal consolidations or pneumothorax are seen . Again seen are surgical clips at the right lung apex that are unchanged in position .
    OUTPUT:
    
Subject to the limitations of plain film radiography no acute cardiopulmonary findings are seen with the exception of a small right pleural effusion .