Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided chest tube is again seen . There is a small right apical lateral pneumothorax increased compared to the study from earlier the same day . Right IJ line tip is in the SVC . There is a small left effusion . There is mild pulmonary vascular redistribution and perihilar haze compatible with an element of fluid overload .
    OUTPUT:
    
Increased small right apical pneumothorax .