Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest demonstrate well - expanded lungs . There is minimal blunting of the left costophrenic angle suggestive of a small pleural effusion . The lungs are otherwise clear . TIPS shunt is again seen in the right upper quadrant . Vascular coils are again seen in the left upper quadrant . There is no pneumothorax . Cardiomediastinal silhouette is unremarkable . Visualized osseous structures are unremarkable .
    OUTPUT:
    
Small left pleural effusion , otherwise unremarkable chest radiograph .