Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is top normal . Mild cardiomegaly is unchanged compared to the prior exam . The aorta is tortuous . Otherwise , the hilar and mediastinal contours are normal . The lungs are clear without evidence of focal consolidations concerning for pneumonia . There is a new small left - sided pleural effusion . There is no evidence of pneumothorax . The visualized osseous structures are unremarkable .
    OUTPUT:
    
No focal consolidations concerning for pneumonia identified . New small left pleural effusion . ___ were d / w Dr . ___ by Dr . ___ by phone at ___ : ___pm on the day of the exam . by phone .