Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates a small right - sided apical pneumothorax and tiny left - sided apical pneumothorax . Remaining portion of the right lung is clear . Small left - sided pleural effusion with adjacent atelectasis . Cardiomediastinal and hilar contours are unremarkable . Chest tubes project over the bilateral hemithoraces
    OUTPUT:
    
Small right - sided apical pneumothorax and tiny left - sided apical pneumothorax .