Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior film , the left chest tube is been removed . Doubt but can not entirely exclude a tiny residual left pneumothorax . No right - sided pneumothorax is identified . Multiple additional lies and tubes been removed . The right IJ line remains present , tip again seen overlying the mid right atrium . Again seen is increased retrocardiac opacity with partial obscuration the left hemidiaphragm , consistent with left lower lobe collapse and / or consolidation . A small left effusion can not be excluded . Cardiomediastinal silhouette is similar to the prior film , with sternotomy wires noted . At the right lung base , there is atelectasis , with probable small amount of pleural fluid and pleural thickening . Subtle deformity of the of ribs along the lower right chest wall raises the question of old healed fractures , possibly with some chronic pleural thickening .
    OUTPUT:
    
Interval removal of left chest tube . Doubt , but can not entirely exclude , a tiny residual left pneumothorax . Left lower lobe collapse and / or consolidation , possibly with a small left effusion , similar to the prior film . Atelectasis at the right base , which may be slightly worse . Pleural thickening and / or a small amount of pleural fluid at the right base . Please see comment above . No right - sided pneumothorax detected .