Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant interval change . There may be a tiny apical pneumothorax on the right , difficult to assess because soft tissues from the flexed chin obscures portions of the lung apices . Bilateral small , greater on the right , pleural effusions are unchanged in the positions of both chest tubes bilaterally are unchanged . Dual lead cardiac pacer defibrillator device is unchanged . Numerous bilateral pulmonary nodules are also unchanged .
    OUTPUT:
    
No significant interval change , possible tiny apical pneumothorax on the right is hard to assess due to overlying soft tissue from the chin .