Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval decrease in size of the right pleural effusion with small residual effusion remaining . There is a new small right pneumothorax measuring 1 .7 cm at the apex . There is no shift of mediastinal structures . The right upper lung paramediastinal mass is unchanged . Underlying lesions in the right lung are better seen on prior CT from ___ . Residual right basilar opacity likely represents a combination of atelectasis and underlying mass . The left lung is clear . No left pleural effusion or pneumothorax is present . Heart size is normal .
    OUTPUT:
    
New right pneumothorax with interval decrease in right pleural effusion . No shift of mediastinal structures . Telephone notification of Dr . ___ by Dr . ___ at 18 : 10 on ___ , 5 minutes after discovery of the findings .