Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright and lateral views the chest provided . As seen on prior exam , there is a small right pneumothorax without significant right lung collapse or shift of midline structures . There is a small right pleural effusion also noted . Large paraseptal blebs noted at the left lung base . Cardiomediastinal silhouette appears normal . Chronic left clavicular deformity noted . Otherwise the bony structures appear intact .
    OUTPUT:
    
Small right pneumothorax without evidence of tension .