Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest ___ at 09 : 11 are submitted .
    OUTPUT:
    
A left chest tube remains in place and there is a persistent small but stable left apical pneumothorax . Lungs are somewhat hyperinflated consistent with underlying emphysema . A small left pleural effusion persists . The left lateral chest wall subcutaneous emphysema has slightly increased . Bilateral radiation changes are stable . No pulmonary edema . Overall cardiac and mediastinal contours are unchanged . Marked thoracic kyphosis with several mid thoracic vertebral compression fractures unchanged since at least ___ .