Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . A tiny left apical pneumothorax is present . Two thoracostomy tubes are present . The heart size is top normal . There is central pulmonary vascular congestion , with no appreciable edema . A left basilar opacity likely reflects a combination of atelectasis and a small left pleural effusion .
    OUTPUT:
    
1 . Tiny left apical pneumothorax . 2 . Mild pulmonary vascular congestion . No overt edema . 3 . Small left pleural effusion with adjacent atelectasis .