Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest demonstrate a persistent small right apical pneumothorax , no larger in size compared to the prior study . A layering right pleural effusion has increased . There is also atelectasis of the right lung base , similar in appearance compared to the prior study . The left lung is grossly clear . No pleural effusion or left - sided pneumothorax is identified . The cardiomediastinal silhouette is normal in appearance . Right rib fractures are again noted . Right lateral chest wall subcutaneous emphysema extending into the soft tissues of the right lateral neck is similar in appearance .
    OUTPUT:
    
Persistent small right apical pneumothorax , no larger since the prior study , although the right pleural effusion has progressed . Repeat radiographs are recommended to evaluate for stability . Right - sided rib fractures are unchanged .