Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a small - to - moderate left apical pneumothorax , unchanged from the most recent prior radiograph . A left chest tube has been removed . There is now a small left pleural effusion with associated compressive atelectasis . A tiny right pleural effusion is present . No focal consolidation . Cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
1 . Persistent small - to - moderate left apical pneumothorax . 2 . Small bilateral pleural effusions .