Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a right chest tube with dramatic improvement in the right pleural effusion . A small apical hydropneumothorax remains . Patchy peripheral opacities throughout both lungs are consistent with known metastatic disease . There is no new definite focal consolidation concerning for pneumonia . Known mediastinal lymphadenopathy is reflected in an abnormal right upper mediastinal contour . The heart is normal in size .
    OUTPUT:
    
Interval placement of a right chest tube with decreased size of the right pleural effusion . Now with a small apical hydropneumothorax .