Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the prior study there is no significant interval change in the appearance of the left apical lateral pneumothorax . This is small to moderate in size . Left chest tube is present . There small bilateral pleural effusions . Right at T8 line tip is in the SVC . The ET tube is no longer visualized . There is a moderate amount of subcutaneous emphysema in the left neck . .
    OUTPUT:
    
Persistent small to moderate left apical lateral pneumothorax .