Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are surgical clips and volume loss in the right lower hemithorax with flattening and a meniscoid appearance to the pleural surfaces suggesting smooth scarring , pleural effusion , or both . Similar findings are present at the left lung base , but to some extent less striking , suggesting a small pleural effusion with minor atelectasis . Mild subpleural scarring is noted at the right lung apex .
    OUTPUT:
    
Suspected pleural effusions of small size with atelectasis or scarring at the lung bases . Given background abnormalities and post-surgical changes associated with the right lower hemithorax , however , if available , direct comparison to prior radiographs is suggested .