Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is moderately enlarged but unchanged . The aortic knob calcifications are re- demonstrated . The mediastinal and hilar contours are unchanged , and there is no evidence of pulmonary edema . Bilateral calcified pleural plaques are re- demonstrated . New since the prior exam is the development of a small right pleural effusion . No focal consolidation , pneumothorax , or left - sided pleural effusion is demonstrated . A small hiatal hernia is noted . There is diffuse demineralization of the osseous structures is re - demonstrated with slight anterior wedging of a low thoracic vertebral body again noted .
    OUTPUT:
    
New small right pleural effusion . Calcified pleural plaques reflective of prior asbestos exposure .