Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left chest tube is present . There is a left apical opacity with a small adjacent pneumothorax , reflective of postsurgical change . The lungs are hyperexpanded . No focal consolidation , pleural effusion or pneumothorax in the right lung . The size of the cardiac silhouette is enlarged . Subcutaneous emphysema is noted over the left lateral chest wall .
    OUTPUT:
    
Postsurgical changes at the left lung apex as described above including a trace left apical pneumothorax . A left chest tube is in place .