Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Surgical clips in the left upper quadrant are again noted . Additionally , surgical clips in the left medial chest are again noted . There is left lower lobe atelectasis with a tiny pleural effusion . Possibility of a superimposed mild consolidation can not be excluded . Otherwise , the lungs are clear . Heart and mediastinal contours are stable . Bony structures are intact .
    OUTPUT:
    
Left lower lobe atelectasis , tiny effusion . Can not exclude early pneumonia in the left lower lobe .