Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior film , multiple lines and tubes have been removed , including the left chest tube . Again seen is a right - sided PICC line . The tip is not well visualized , but probably overlies the mid / distal SVC . On the current examination , there is a very small left apical pneumothorax . This is new compared with ___ . The possibility of a miniscule left apical pneumothorax on the prior film can not be entirely excluded . No right - sided pneumothorax is identified . The cardiomediastinal silhouette is enlarged , but unchanged . Left and right base opacities are similar to the prior study . Upper zone redistribution and mild diffuse vascular blurring is again seen , possibly slightly improved . Probable small bilateral effusions , grossly similar to the prior study .
    OUTPUT:
    
1 . New very small left apical pneumothorax status post removal left chest tube . 2 . Possible slight improvement in CHF findings . 3 . Otherwise , allowing for interval removal of multiple tube / lines , I doubt gross interval change .