Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of the right chest tube , with a small apical pneumothorax minimally increased since study from five hours earlier . There is otherwise no significant interval change with persistent left pleural effusion with bibasilar atelectasis and extensive subcutaneous emphysema .
    OUTPUT:
    
Interval removal of right chest tube with slight increased size of persistent right apical pneumothorax . Otherwise , no significant change since five hours prior . Results were discussed over the telephone with ___ by ___ at 11 :50 a .m . on ___ at time of initial review .