Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is top - normal . Small left pneumothorax has decreased . Small left pleural effusion has increased . left chest tube remains in place . Patient has severe emphysema . Bilateral post radiation changes are again noted . Right upper lobe opacity better evaluated on prior CT from ___ . Wedge shaped deformities in mid thoracic vertebral bodies are again noted . Left chest wall subcutaneous emphysema is grossly unchanged
    OUTPUT:
    
There has been mild interval decrease in the left pneumothorax and minimally increase in small left pleural effusion