Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sternotomy wires and mediastinal clips are unchanged . A left - sided chest tube is in place . Right - sided PICC tip terminates in the mid SVC . There has been improvement in the right - sided pleural effusion with only small apical and lateral pneumothoraces . There is no mediastinal shift or diaphragmatic flattening . Bibasilar atelectasis is present , worse on the left than the right . At least one lateral rib fracture is present in the left thoracic rib cage , better characterized on prior torso CT .
    OUTPUT:
    
Improved appearance of right pleural effusion with small pneumothorax - no evidence of tension .