Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with prior radiographs on ___ , overall lung volumes are decreased , with slight increase in vascular congestion and a small right pleural effusion . There is no overt pulmonary edema . A tiny right apical pneumothorax is unchanged . No new focal consolidation . Cardiomediastinal silhouette is unchanged . LVAD is in place . Median sternotomy wires are stable in position . Tracheostomy and feeding tube are unchanged in appearance .
    OUTPUT:
    
Decrease in lung volumes with slight increase in vascular congestion and small right pleural effusion . No overt pulmonary edema . Unchanged tiny right apical pneumothorax .