Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No pneumothorax identified . Mild pleural thickening at the left lung apex . Unchanged small to moderate left effusion . No focal consolidation . The tip of the feeding tube courses below the level of the diaphragms but beyond the field of view of this radiograph . Again noted is a stent and surgical clips projecting over the right upper quadrant .
    OUTPUT:
    
No pneumothorax identified . Unchanged small to moderate left pleural effusion .