Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP view of the chest . Right - sided chest tube is unchanged in position . The tracheostomy ends 4 .6 cm from the carina . Right IJ central venous line ends in the mid SVC . Subcutaneous emphysema is unchanged . Small bilateral pleural effusions are unchanged . Right apical pneumothorax is unchanged in size . No new consolidations .
    OUTPUT:
    
No change in small bilateral pleural effusions or right apical pneumothorax .