Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior study , extensive left - sided subcutaneous emphysema about the left chest and about the lower neck is again seen . Also again seen are the left - sided chest tube and left pigtail catheter . Though these appear unchanged in configuration , note is made that the curved portion of pigtail is centered on the chest wall and the proximal sideport of the left chest tube may lie outside the chest wall . Clinical correlation is requested . On the current film , there is a small left apical pneumothorax . There is also probably some pneumothorax air deep to the medial side of the left lung . Lucency along the left border of the heart is more apparent . The right lung is similar on the prior film , with a small right apical pneumothorax and band like opacity along the minor fissure , suggesting a small amount of fluid in the minor fissure . No other right - sided pneumothorax is detected , though a subtle occult pneumothorax might not be apparent . Mild represent a redistribution is unchanged . Aside from minimal atelectasis at the left lung base , there is no focal opacity no focal parenchymal opacity . No gross effusion .
    OUTPUT:
    
Left chest and pigtail catheter , as described , though unchanged in alignment . Clinical correlation requested . Biapical pneumothoraces . Suspect a small amount of pneumothorax air along the medial side of the left lung . Lucency along the left heart border also slightly increased , possibly related to projection from medial sided pneumothorax . If clinically indicated , CT could help to more completely delineate the presence of pneumothoraces , mediastinal and subcutaneous emphysema in the position of the chest tube and pigtail catheter .