Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left pleural effusion is unchanged in size . There has been interval decrease in a right small pleural effusion . There is no pneumothorax . Left basilar atelectasis is unchanged . The cardiomediastinal and hilar contours are unchanged . Multifocal heel - toe or fractures are similar in appearance to the prior study .
    OUTPUT:
    
Small left pleural effusion is stable in size . Small right pleural effusion has decreased . No evidence of pneumothorax .