Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Study is limited by low lung volumes and slightly lordotic positioning . Within the limitations the cardiomediastinal silhouette and hilar contour is stable . There has been interval development of a small left - sided pleural effusion as well as focal consolidations in the posterior left lower lobe worrisome for infection . No pneumothorax . Amorphous calcification superior to the left humeral head is compatible with calcific tendinosis . No acute bony changes identified .
    OUTPUT:
    
Focal consolidations in the left lower lobe worrisome for infection . Small left effusion .