Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are 2 right - sided chest tubes , the inferior chest tube has been replaced in the interval since the most recent prior chest radiograph . There appears to be interval curving of the tip of the more inferior chest tube . The heart is severely enlarged , unchanged compared to multiple recent priors . Right - sided hemorrhagic pleural effusion is unchanged . The right apical pneumothorax has significantly decreased in size .
    OUTPUT:
    
1 . The inferior right - sided chest tube appears to be curved at the tip , possibly kinked . 2 . Very minimal right apical pneumothorax , decreased compared to most recent prior study . 3 . Unchanged small right hemorrhagic pleural effusion and severe cardiomegaly .