Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A small left apical pneumothorax is more clearly visualize compared with the prior study . A left pigtail chest tube is in unchanged position . A large left layering pleural effusion is similar . Both lung bases are excluded from the field of view . Moderate hyperexpansion is unchanged . The cardiomediastinal silhouette is stable . The tracheostomy tube and a left approach PICC terminating in the mid SVC are unchanged .
    OUTPUT:
    
1 . Small left apical pneumothorax is more apparent on the present study . 2 . Unchanged large left layering pleural effusion .