Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal status unchanged . Lungs are hyperinflated . Surgical sutures project over the left apex . Left chest tube is in place . There is a very small left apical pneumothorax . No pleural effusion .
    OUTPUT:
    
Very small left apical pneumothorax . Chest tube is in place .