Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is at the upper limits of normal size . There is apparent widening of the right paratracheal stripe , although probably due to rotation . It is suspected that the appearance is unchanged when differences in technique are considered , but confirmation with a followup PA and lateral radiographs is recommended to demonstrate normal contours when clinically appropriate . The lungs appear clear . There is probably a very small left - sided pleural effusion and trace pleural effusion on the right , but not well demonstrated . Bones appear demineralized .
    OUTPUT:
    
Suspected trace pleural effusions . Otherwise , no definite evidence of acute disease . Apparent widening of right mediastinal contour , but probably due to rotation . However , when clinically appropriate , followup PA and lateral radiographs are recommended to assess further . Recommendations discussed with Dr . ___ , ___ physician caring for the patient , at 4 pm on ___ by telephone .