Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs . There is persistent elevation of the right hemidiaphragm which is more pronounced than on priors . Small right pleural effusion is new . However , there is no evidence of pulmonary edema . The heart size is normal . Again noted is the abnormal contour of the right apex which may represent fibrotic changes .
    OUTPUT:
    
Small right pleural effusion in the setting of elevated right hemidiaphragm which has been present on prior exams but is slightly more pronounced . If there is further concern for an underlying abnormality , chest CT can be considered . However , no evidence of pulmonary edema . Findings were discussed by Dr . ___ with Dr . ___ by phone at 5 :04 p .m . on ___ .