Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ICD projects over the left pectoral region with lead tip in the right ventricular apex . Tiny small right pleural effusion . No new focal opacity , pneumothorax , left pleural effusion or pulmonary edema . Moderately enlarged heart with predominant left atrial enlargement and normal mediastinal contour and hila . No bony abnormalities .
    OUTPUT:
    
Tiny right pleural effusion .