Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left apical pneumothorax is slightly increased . There is increased left basilar atelectasis and pleural effusion . Right basilar atelectasis is improved . There is minimal if any right pleural effusion . Cardiomediastinal silhouette is slightly increased compared to prior . Again seen is a left pleural drainage catheter . There has been interval removal of a right - sided PICC . Again seen is a tracheostomy tube .
    OUTPUT:
    
1 . Slightly increased left apical pneumothorax . 2 . Left basilar atelectasis and pleural effusion has increased . 3 . Interval removal of right - sided PICC .