Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chest tubes have been removed from each hemithorax . Lines , tubes and drains appear otherwise unchanged . There is a new moderate pneumothorax on the right . The pleural edge is retracted from the chest wall by about 3 .5 cm . There was already mild shift of mediastinal structures to the left associated with volume loss , probably related to retrocardiac opacification suggesting substantial left lower lobe atelectasis , but the degree of shift is unchanged . There is a small pneumothorax on the left , probably unchanged . Small pleural effusions are difficult to exclude . The cardiac , mediastinal and hilar contours appear stable .
    OUTPUT:
    
Status post chest tube removal with a new moderate - sized pneumothorax on the right and unchanged small left - sided pneumothorax . Findings discussed with Dr . ___ by telephone .