Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left chest tube is been removed . The right internal jugular catheter terminates in the right atrium SVC junction . A pacemaker again is noted . Left - sided pleural disease is present . There is perhaps a tiny left apical pneumothorax not thought to be of importance . The pulmonary vasculature appears improved when compared to the previous study . The heart is enlarged . The patient has median sternotomy closures and mediastinal clips consistent with coronary artery bypass graft . . The osseous structures are normal for age .
    OUTPUT:
    
The pulmonary vascular has improved . The left chest tube is removed . There remains left pleural disease . A tiny left apical pneumothorax is present .