Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , interval removal of right chest tube is seen with a new small right apical pneumothorax measuring 1 .6 cm below the lung apex and residual opacity projecting over the right lung base possibly representing combination of atelectasis and small pleural effusion . The left lung is clear . Unchanged positioning of hemodialysis catheter . Stable moderate to severe cardiomegaly .
    OUTPUT:
    
Interval removal of right chest tube with new small right apical pneumothorax and residual opacity projecting over the right lung base , possibly representing a combination of atelectasis and small pleural effusions , since ___ .