Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The 2 left - sided chest tubes has been removed . Again seen is a small left apical lateral pneumothorax . , this is similar in size compared to the study from earlier the same day . There continues to be fluid loculated anteriorly on the left . There is also small left effusion . There is volume loss at the left base .
    OUTPUT:
    
Small left apical lateral pneumothorax .