Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a small right apical pneumothorax , not significantly changed from prior . There are small bilateral pleural effusions and bibasilar atelectasis , as well as right basal consolidation . Left paracardiac hernia containing large bowel wall is re - demonstrated . Heart size is stable . Right chest wall pacemaker is unchanged position , with leads terminating in the right atrium and right ventricle .
    OUTPUT:
    
No significant change in small right apical pneumothorax .