Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again is seen an endogastric tube coiling within the stomach . Clips are also present in the epigastrium / left upper quadrant as well as a staple line along the left upper quadrant of the abdomen . A left - sided chest tube is present without a detectable apical pneumothorax , although a small to moderate pleural effusion on the left has grown with underlying atelectasis . Additionally , an area of lucency along the left mediastinal contours is more prominent than on prior exam . No mediastinal shift or diaphragmatic flattening is present .
    OUTPUT:
    
Residual medial left pneumothorax with resolution of apical pneumothorax - no evidence of tension ; slightly increased left pleural effusion with associated atelectasis .