Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The small left apical pneumothorax has grown since the prior study , now moderate . There is no mediastinal deviation to suggest tension . There is a new small left pleural effusion . There is no focal consolidation or pulmonary edema . The cardiomediastinal silhouette is within normal limits .
    OUTPUT:
    
1 . Interval growth of left apical pneumothorax , now small to moderate . 2 . New small left pleural effusion .