Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two frontal images of the chest were obtained . Interpretation is very limited on this study secondary to extreme rotation of the patient . There is a stable small layering right pleural effusion again seen . Cardiomediastinal silhouette can not be evaluated given the patient 's rotation . Mild vascular congestion is again seen which appears unchanged . NG tube seen with tip below the diaphragm . No pneumothorax is seen .
    OUTPUT:
    
Very limited exam due to extreme patient rotation . Small right layering pleural effusion and mild vascular congestion .