Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation . A nipple shadow is visible on the right . The chest is hyperinflated . There is a small pleural effusion on the left . The cardiac and mediastinal contours are unchanged . Cardiac pacer leads are in appropriate position . The visualized osseous structures are unremarkable .
    OUTPUT:
    
No evidence of pneumonia . Small left - sided pleural effusion . Hyperinflation .