Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Elevation of the left hemidiaphragm with gaseous distention of the splenic flexure is unchanged from the prior study with a trace left pleural effusion . There is no right - sided pleural effusion . There is no focal consolidation , pulmonary edema , or pneumothorax . The cardiomediastinal silhouette is within normal limits .
    OUTPUT:
    
Unchanged examination compared with the immediate prior study with left hemidiaphragm elevation and a trace left pleural effusion .