Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of the left - sided pleural pigtail catheter . An air - fluid level near the left apex indicates hydropneumothorax . There is no mediastinal shift or diaphragmatic flattening to suggest tension . There is residual small left pleural effusion with associated atelectasis . Consolidation along the medial and lower left lung continues . The right lung is clear .
    OUTPUT:
    
Status post chest tube removal with residual hydropneumothorax without evidence of tension . Continued left - sided pneumonia .