Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left apical chest tube remains in place . There is no pneumothorax . Marked hyperinflation with flattening of the hemidiaphragms due to emphysema are unchanged . The heart and mediastinum are within normal limits . Left chest wall subcutaneous emphysema is unchanged .
    OUTPUT:
    
No significant interval change . No pneumothorax .