Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable single frontal chest radiograph was obtained . Three left - sided chest tubes remain in place . There is no pneumothorax . The left pleural effusion has decreased in size . The previous focal opacity in the right upper lung zone has cleared . The pre-existing left upper lobe opacity as well as lower lobe subsegmental atelectasis are unchanged . The cardiomediastinal silhouette and hilar contours are stable . Extensive sclerotic metastases are again noted in bones .
    OUTPUT:
    
1 . Chest tubes remain in place without pneumothorax . 2 . Interval improvement of left sided pleural effusion though left upper lobe opacity and lower lobe atelectasis remain unchanged .