Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright and lateral views of the chest ___ at 08 : 10 are submitted . .
    OUTPUT:
    
A left basilar pleural pigtail catheter remains in place . However , on the current study , there is a small apical and medial hydropneumothorax best visualized on the lateral projection which is substantially smaller than that seen on ___ . The lungs remain hyperinflated with stable parenchymal distortion and scarring consistent with underlying severe emphysema as evident on chest CT dated ___ . A tiny left pleural effusion is stable . More focal patchy opacity in the left mid lung is unchanged but may reflect scarring related to underlying emphysema or superimposed infection . Clinical correlation is recommended . No pulmonary edema . Overall cardiac and mediastinal contours are stable .