Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation is identified . There is a new small right pleural effusion with adjacent basilar atelectasis or consolidation . . The cardiac silhouette is mildly enlarged and accompanied by pulmonary vascular congestion . Focal left pleural plaque is noted . A left chest AICD and leads are in unchanged positions . Median sternotomy wires and mitral valve replacements are noted . Indwelling ICD with biventricular pacing leads is also noted .
    OUTPUT:
    
New small right pleural effusion . Adjacent right lower lobe opacity could reflect atelectasis , but infectious pneumonia should also be considered in the appropriate clinical setting . Mild cardiomegaly and pulmonary vascular congestion .