Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two right pigtail catheters are in place . Pneumothorax has decreased with small residual right apical pneumothorax . There is a background of severe emphysema with large apical bulla bilaterally . Again there is blunting of the right costophrenic sulcus likely reflecting some combination of pleural effusion and atelectasis . Overall appearance of the left lung is stable . Heart size is normal . The mediastinal and hilar contours are stable .
    OUTPUT:
    
1 . Interval decrease in size of right pneumothorax with residual small apical pneumothorax . 2 . Small right pleural effusion is increased .