Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are multiple left upper lobe and left mediastinal surgical clips , and the patient is status post left rib resection . There is a small right pleural effusion and thickening , and there is no focal consolidation or pulmonary edema . The heart size is normal , and a calcified aortic valve is noted .
    OUTPUT:
    
Small right pleural effusion . Calcified aortic valve may cause aortic stenosis contribute to syncope .