Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Visualization of the pleural lines at the both lung apices is difficult . Apical pneumothoraces however do not appear appreciably larger . A left - sided chest tube projects at the left apex . Multiple left - sided rib fractures are unchanged . Subcutaneous air along the left lateral chest wall and left neck region remain unchanged . Left basal consolidation appears slightly increased today , likely related to increased pleural fluid .
    OUTPUT:
    
Difficult visualization of pleural lines at the both lung apices , apical pneumothoraces however do not appear appreciably larger .