Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left sided pigtail catheter is again visualized . This is kinked just as it enters the chest . There is a small left effusion and left lower lobe volume loss have increased compared to prior . There is a small left apical pneumothorax that is also increased compared to prior . There is volume loss at the right base .
    OUTPUT:
    
Kink in left - sided chest tube and slight increase in left effusion and tiny left apical pneumothorax .