Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated , slightly limiting the evaluation . Multiple sternal wires and a cardiac valve are present . There is no large consolidation and no pneumothorax . There is blunting of the left costophrenic angle , which could be due to a small left pleural effusion . The heart size is within normal limits . Moderate degenerative changes are seen throughout the thoracic spine .
    OUTPUT:
    
No focal consolidation . Equivocal small left pleural effusion , with examination limited by patient rotation .