Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is mildly enlarged . The aorta is tortuous . Coils seen along the right mediastinal contour are unchanged . The hila and pulmonary vascularity are normal . Lungs are hyperinflated . Blunting of the right costophrenic angle is compatible with a small right pleural effusion , unchanged . Aeration of the right lung base has improved . No focal consolidation or pneumothorax is present . No acute osseous abnormalities are seen .
    OUTPUT:
    
Small right pleural effusion , unchanged . No new focal consolidation to suggest pneumonia .