Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of the left - sided chest tube . Support lines and tubes are otherwise unchanged in position when compared to the prior study . No pneumothorax seen . There is pleural fluid seen tracking along the upper chest , multiple overlying rib fractures are seen . There are persistent bilateral diffuse airspace opacities consistent with pulmonary edema . Overall , appearances are grossly unchanged compared to the prior study .
    OUTPUT:
    
No pneumothorax seen , left apical pleural fluid . Unchanged diffuse pulmonary edema .