Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable single frontal chest radiograph was obtained with the patient in upright position . Bilateral chest tubes remain in place . Small left and tiny right apical pneumothoraces are still present . There is persistent mild bibasilar atelectasis as well as a small right pleural effusion . The cardiomediastinal contours are stable . The stomach is moderately distended .
    OUTPUT:
    
1 . Unchanged bilateral apical pneumothoraces , left greater than right . 2 . Moderately distended stomach , which may cause aspiration in at - risk patients .