Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest . Right apical pneumothorax is tiny and right pleural tubes are in stable position . Slight interval increase of right base opacity is likely a combination of atelectasis and effusion . Multiple bilateral nodular metastases are similar to prior . Lung volumes are low , exaggerating heart size . Mediastinal contours are stable .
    OUTPUT:
    
Tiny right apical pneumothorax with right pleural tubes in similar position . Interval increase in right base atelectasis and effusion .