Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is top normal with a left ventricular configuration . The right costophrenic angle is obscured , consistent with either a small effusion or early focus of pneumonia . No pneumothorax .
    OUTPUT:
    
Obscuration of the right hemidiaphragm laterally , consistent with either small pleural effusion or early focus of pneumonia . Dedicated PA and lateral views are recommended when the patient is able .