Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are provided . The patient 's kyphotic angulation of the T - spine and rotations of the left limit the evaluation . There is a small right pleural effusion . A retrocardiac opacity could represent a hiatal hernia . The heart and mediastinal contour appear grossly unchanged . No large pneumothorax is seen . No acute fracture is evident . Vertebroplasty is present in the lower T - spine .
    OUTPUT:
    
Small right pleural effusion . Probable hiatal hernia . Otherwise , no gross abnormality on this limited exam .