Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right apical pneumothorax is unchanged in size . A right chest tube is in stable position though with increased adjacent atelectasis , which could suggest a fissural location . There is no residual right basilar pneumothorax . On the left , there is a small effusion , as well as a small persistent left apical and medial pneumothorax . As contralaterally , no significant basal component is appreciated . There is no new opacity to suggest pneumonia . The hilar and cardiomediastinal contours are unchanged , with no new pulmonary vascular congestion or pulmonary edema . Median sternotomy wires are in unchanged position .
    OUTPUT:
    
Small left and small - to - moderate right pneumothorax are unchanged in size . Stable small left effusion . Atelectasis about the right chest tube could indicate a fissural position .