Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The small right apical pneumothorax has not increased in size and is perhaps minimally decreased from the prior exam . No evidence of tension . The size of the pneumothorax does not appreciably change with inspiration and expiration . The lungs are otherwise clear . No focal consolidation , pleural effusion , or pulmonary edema . The heart is normal in size . The mediastinum is not widened . Multiple right lateral rib fractures are unchanged .
    OUTPUT:
    
Small right apical pneumothorax , overall unchanged .