Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear with left pleural effusion noted . No focal consolidation or pneumothorax is seen . There is no right effusion . The heart is top normal in size . Normal cardiomediastinal silhouette . Surgical clips noted in the right breast .
    OUTPUT:
    
Small left pleural effusion . Though nonspecific , in the appropriate clinical setting , an isolated pleural effusion can be associated with pulmonary embolism . By report , the patient is scheduled for a VQ scan to explore this possibility .