Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views have been obtained with patient in upright position . Comparison is made with the next preceding portable AP single chest view of ___ . Right - sided chest tube remains in place terminating somewhat lower than on the preceding study in the apical area . The second lower right chest tube remains in unchanged position . Small amount of right - sided pleural effusion persists blunting the lateral and posterior pleural sinus . No new parenchymal infiltrates are seen , and no significant pneumothorax has developed in the apical area . The left - sided hemithorax remains unchanged with no new infiltrates . As before , there are local rib deformities apparently related to previous old trauma as already observed on previous chest CT .
    OUTPUT:
    
Stable appearance of right - sided postoperative small apical pneumothorax and pleural effusion .