Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval removal of right chest tube . Small right apical pneumothorax without tension . Lung volume is again small . Otherwise no significant change from prior . Left pleural effusion with underlying volume loss is stable . Cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Interval removal of right chest tube . Small right apical pneumothorax without tension .