Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant interval change in the right apical pneumothorax . Small bilateral pleural effusions with hernia . Pigtail catheters projecting over the right hemithorax are unchanged . Otherwise , the lungs are unchanged . Endobronchial valves on the right are unchanged . Heart size is normal .
    OUTPUT:
    
Persistent small right apical pneumothorax . New small bilateral pleural effusions .