Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has had right thoracentesis with interval decrease in the known right pleural effusion , which is now trace in size . However , there is a new tiny right apical pneumothorax . The lungs remain hyperinflated but clear , which is most commonly due to emphysema . The heart and mediastinum are within normal limits . A mid thoracic vertebral body compression fracture is unchanged . There is a stable small left pleural effusion . Mild dilatation of upper lobe vessels may be an early indication of impending heart failure .
    OUTPUT:
    
Status post right thoracentesis with interval decrease in right pleural effusion , which is now trace in size . New tiny right apical pneumothorax . Clear hyperinflated lungs . Mild dilatation of upper lobe vessels may be an early indication of impending heart failure .