Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple lines and tubes been removed . A right IJ catheter overlies the proximal SVC . Possibility of a tiny left apical pneumothorax can not be excluded . No other evidence a pneumothorax is detected . The cardiomediastinal silhouette is unchanged allowing for lower lung volumes . Of note , there is hazy opacity at the right base which raises the possibility of some layering pleural fluid . There is bibasilar collapse and / or consolidation which has progressed compared with the earlier study .
    OUTPUT:
    
Possible tiny left apical pneumothorax . Lower inspiratory volumes with bibasilar collapse and / or consolidation and equivocal small right effusion . This appearance is notably worse compared with ___ .