Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has had median sternotomy and the wires appear intact and in similar position . Mediastinal clips are unchanged . The patient appears to have had a lap band procedure , projecting over the left upper abdomen . A left pleural effusion is small with mild adjacent relaxation atelectasis . Otherwise , the lungs are clear . No focal consolidation , effusion , edema , or pneumothorax . The heart is normal in size . The mediastinum is not widened . No acute osseous abnormality .
    OUTPUT:
    
1 . No focal pneumonia . 2 . Small left pleural effusion and atelectasis .