Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were obtained . Patient is rotated to the right , which somewhat limits the evaluation . A dual - lead pacer is unchanged in position . There is blunting of the left CP angle which could be reflective of a tiny pleural effusion . There is no focal consolidation to suggest the presence of pneumonia . No definite signs of CHF . Cardiomediastinal silhouette appears grossly stable allowing for patient rotation . Bony structures appear intact .
    OUTPUT:
    
Tiny left pleural effusion . Otherwise unremarkable .