Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A chest tube remains in place with a small right apical pneumothorax . There is also a moderate - sized pleural effusion on the right . Allowing for slight differences in positioning and decreased lung volumes , the extent of fluid is not clearly changed . There is probably some degree of atelectasis at the right lung base , as before , although findings are not specific on radiography . A TIPS shunt projecting over the right upper quadrant shows some narrowing along the mid portion of the stent , similar to the prior findings , and again noted are vascular coils projecting over the epigastric region to the left of midline as well as patchy calcification in the left upper quadrant . The left lung remains clear with noting a very small pleural effusion only on the left .
    OUTPUT:
    
Decreased lung volumes , but other prior probably no significant change .