Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post left LUNG SURGERY , with LONG - STANDING mediastinal shift to the left , UNCHANGED . The right lung is SEVERELY EMPHYSEMATOUS . There is no pleural effusion or pneumothorax . APICAL THORACOSTOMY TUBE IN PLACE .
    OUTPUT:
    
No acute cardiopulmonary abnormality . NO PNEUMOTHORAX OR PLEURAL EFFUSION , RIGHT APICAL PLEURAL DRAINAGE TUBE IN PLACE . SEVERE EMPHYSEMA .