Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph ___ at 05 :25 is submitted .
    OUTPUT:
    
Interval removal of one of the two left basilar chest tubes with a stable appearance to the left lower lung and apparent loculated fluid and air at the left apex . The right lung remains grossly clear . Overall cardiac and mediastinal contours are difficult to assess due to marked patient rotation on the current study but are likely unchanged .