Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal view of the chest demonstrates interval placement of a left pleural tube . There are two curvilinear opacities which are seen projecting over the left apex , but are difficult to discern secondary to projection of the bony structures in this area . This may represent a small apical pneumothorax . The left - sided port remains in standard position , unchanged since the prior study . Multiple bilateral parenchymal opacities are again seen , consistent with metastatic breast cancer . The heart size is unchanged .
    OUTPUT:
    
Interval placement of a left pleural catheter with possible small left apical pneumothorax . Otherwise , unchanged since the prior study . The above findings were communicated to Dr . ___ by Dr . ___ ___ page at 16 : 15 , 5 minutes after the finding was discovered and was then subsequently discussed over the telephone .