Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are underinflated , and there is likely a small right pleural effusion . No focal consolidation to suggest pneumonia . Heart size and mediastinal contours are within normal limits .
    OUTPUT:
    
1 . Underinflated lungs . 2 . Small right pleural effusion . 3 . No strong evidence of pneumonia .