Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided PICC terminates at the mid SVC . Bilateral basilar thoracostomy tubes are present . Severe left lower lobe atelectasis is unchanged . A moderate right pleural effusion is slightly enlarged since the 12 :19 p .m . examination . Widespread right parenchymal opacities are slightly improved . There is no right pneumothorax . A small left apical pneumothorax is present . There is no mediastinal shift . The heart size is normal . The upper mediastinal contour is unchanged . Hazy left middle and lower zone opacites are unchanged .
    OUTPUT:
    
1 . Small left apical pneumothorax . 2 . Slightly enlarged moderate right pleural effusion with adjacent atelectasis . 3 . Slightly improved widespread right parenchymal opacities . 4 . Unchanged severe left lower lobe atelectasis . The findings were made by Dr . ___ at 9 : 40 a .m . on ___ , and communicated via telephone to Dr . ___ ___ the ___ service at 9 :43 a .m .