Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to chest radiograph from the same day , interval insertion of a right - sided PleurX catheter with a medial course . There is a new small right - sided apical pneumothorax . Right - sided pleural fluid has decreased . Moderate left - sided pleural effusion persists . Pulmonary vascular congestion and moderate to severe cardiomegaly unchanged .
    OUTPUT:
    
New small right apical pneumothorax post right PleurX catheter insertion .