Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A small right pleural effusion is present . There is otherwise no focal consolidation or pneumothorax . The cardiomediastinal silhouette is unremarkable . A hiatal hernia is present . There are degenerative changes at the left shoulder joint and in the spine .
    OUTPUT:
    
1 . A small right pleural effusion . 2 . Small hiatal hernia . These findings were discussed with Dr . ___ by Dr . ___ at 4 pm via telephone