Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is new blunting of the left costophrenic angle with possible small focal opacity which may represent a small pleural effusion or infectious process . The right lung is clear and there is no pneumothorax . The cardiomediastinal silhouette is normal . There is a right central venous catheter terminating in the lower SVC . There are no acute skeletal abnormalities .
    OUTPUT:
    
New blunting of the left costophrenic angle may be due to infectious process or possibly small pleural effusion . These findings were discussed with ___ , M .D . by Dr . ___ ___ telephone at 11 am .