Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation or pneumothorax . Postsurgical changes are noted in the right lower lobe . There is a small pleural effusion on the left . No pleural effusion on the right . Cardiomediastinal silhouette is unremarkable . No acute osseous abnormalities detected .
    OUTPUT:
    
Small left pleural effusion , without focal consolidation .