Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two intracardiac device leads are unchanged in position , coursing to the right ventricle , presumably one is not connected to the left pectoral generator . A left Pleurx catheter is new with slight interval decrease in the left pleural effusion since ___ . A moderate right pleural effusion and adjacent atelectasis are similar . An oval lucency at the base of the left hemithorax is unchanged from ___ and may represent a small loculated component of pleural air . Just superior to this , a tiny left pneumothorax is noted laterally . Moderate cardiomegaly and pulmonary vascular engorgement are similar to the prior study . Increased density at level of thyroid could be due to thyroid enlargement .
    OUTPUT:
    
Tiny left lateral pneumothorax . Slight interval decrease in left pleural fluid after pleural catheter placement . An email was sent to Drs . ___ ___ ___ at 3 : 13 pm on ___ . Response received at 3 : 16 pm . Dr . ___ was already aware of the pneumothorax at the time of communication .