Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A small left apical pneumothorax is seen . Postsurgical changes are seen including small pleural effusions bilaterally . No focal consolidation or pulmonary edema is seen . The cardiac silhouette is enlarged consistent with recent cardiac surgery .
    OUTPUT:
    
Small left apical pneumothorax is seen . Postsurgical changes of cardiac silhouette and small bilateral pleural effusions are seen .