Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube remains stable in the trachea . Right internal jugular catheter remains in the lower SVC . Left - sided chest tube and left basal pigtail catheter are again visualized in unchanged position . Again visualized is a small left apical pneumothorax , which appears stable in size . Rightward shift of normally midline structures again noted but difficult to compare due to differences in rotation . The cardiac silhouette appears stable . Again visualized are stable right upper lobe , right lower lobe and lingular opacities as well as a small right pleural effusion .
    OUTPUT:
    
Little change in comparison to prior study from earlier in the same day with stable small left apical pneumothorax with a left - sided chest tube and left pigtail catheter in place as well as persistent multifocal lung opacities .