Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sternotomy wires , right - sided jugular line appear unchanged . No definitive left apical pneumothorax is now identified . Left - sided atelectasis and effusion are seen . There has been prior surgery in the right axillary region . Chest tube has been removed
    OUTPUT:
    
The left apical pneumothorax is now not definitively seen . Otherwise little interval change from prior study