Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Combination of right - sided pleural effusion and thickening are unchanged . Adjacent atelectasis in the right lower lobe also unchanged . The left lung remains clear . The cardiomediastinal contours are unchanged , without adenopathy . Multilevel degenerative changes of the spine . No pathologic fracture .
    OUTPUT:
    
Combination of right - sided pleural effusion and thickening are unchanged .