Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right IJ Cordis is been removed . There is a small right apical pneumothorax . This is more apparent than on the prior studies . There small bilateral pleural effusions . The is a small and on the prior exam . There is volume loss in both lower lungs . Sternotomy wires and valve replacement are again seen
    OUTPUT:
    
Small right apical pneumothorax .