Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube ends 4 .1 cm above carina . The patient had a recent left lower lobe lobectomy with the chest tube that projects in upper hemithorax without any visible pneumothorax . Left pleural effusion is small if any . The lung volumes are low with mild mediastinal and cardiac enlargement .
    OUTPUT:
    
There is no pneumothorax . The patient had recent left lower lung lobectomy with usual change .