Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A frontal chest radiograph demonstrates interval removal of a left chest tube , now with a tiny apical pneumothorax which is new . The remainder of the exam is unchanged , including small bilateral pleural effusions and bibasilar atelectasis . There is no new focal consolidation . Left rib fractures are again noted . The visualized upper abdomen is unremarkable .
    OUTPUT:
    
Interval removal of a left chest tube , now with a tiny apical pneumothorax which is new .