Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right apical pneumothorax is seen with no sign of tension . Right chest tube is unchanged in position from previous radiograph . The lung volumes are decreased in size with bilateral atelectatic changes , unable to rule out right middle lobe collapse . The cardiac silhouette is increased in size likely secondary to poor inspiration . Since the prior radiograph , the ET tube and nasogastric line has been removed . Left - sided PICC line with tip is unchanged in position in the midline .
    OUTPUT:
    
Right apical pneumothorax is seen with right chest tube unchanged in position . Decreased lung volumes with atelectatic changes , unable to rule - out right middle lobe collapse .