Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a small apical right pneumothorax following right chest tube removal . The tracheostomy tube is midline in appropriate position , and a left PICC line ends in the lower SVC . Increased opacification of the left hemithorax could be increasing layering pleural effusion . Multiple left lateral rib and clavicle fractures are again seen . The heart , mediastinal , and hilar contours are normal .
    OUTPUT:
    
Small apical right pneumothorax after chest tube removal .