Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is rotated . Lungs grossly clear . The left costophrenic angle is not well seen , suggesting a presence of a small left pleural effusion . Heart size top - normal . The hilar contours are unremarkable . There is no pneumothorax . A right - sided VP shunt is present , with the tip not well seen .
    OUTPUT:
    
1 . Lungs grossly clear . 2 . Small left pleural effusion . 3 . A right - sided VP shunt is present , with the tip not seen .