Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of a left chest tube . There is a small left apical pneumothorax . Subcutaneous emphysema overlying the left lateral chest is unchanged . Minimal pneumoperitoneum noted under the left hemidiaphragm . The lungs are clear without focal consolidation . Small right pleural effusion versus pleural thickening . The cardiac and mediastinal silhouettes are unremarkable . Previously seen well - circumscribed gas collection in the left lower lateral chest wall previously discussed as possibly representing gut herniation .
    OUTPUT:
    
1 . Interval removal of left chest tube . Small slightly increased left apical pneumothorax . 2 . Left lateral chest subcutaneous emphysema , unchanged . 3 . Minimal pneumoperitoneum noted under the left hemidiaphragm . 4 . Small right pleural effusion versus pleural thickening . 5 . Well - circumscribed gas collection of the left lower lateral chest wall may represent gut herniation as previously discussed .