Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . The heart is moderately tortuous . There is a very small pleural effusion on the right . There is no definite pleural effusion on the left , but the possibility can not be excluded . Mild pleural thickening at each lung apex is consistent with minor scarring . There is a nodular focus projecting over the medial right lower lung which may correspond to a focus projecting over the posterior right lower lobe , a possible pulmonary nodule in the right lower lobe . Otherwise the lungs appear clear .
    OUTPUT:
    
2 . Small suspected right - sided pleural effusion .