Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the prior study . The heart is slightly larger in the aorta is more tortuous . There is plate like atelectasis in the left lower lung . There is no definite infiltrate . There is a small left effusion .
    OUTPUT:
    
Volume loss and effusion the left lower lung but no definite infiltrate a lateral film would be helpful for further assessment of the left lower lobe