Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are well expanded with minimal residual right basal atelectasis . Post - surgical changes are seen with chain suture and clips in the right mid and lower lung . Apically directed right - sided chest tube is seen with small apical pneumothorax . Left lung is clear . Stable fullness of the azygos vein is compatible with mild vascular congestion without edema . Heart is stably enlarged . Subcutaneous air noted in the right lateral chest wall .
    OUTPUT:
    
Small right apical pneumothorax with chest tube in place . Findings and changes from the initial interpretation were discussed with Dr . ___ at 11 :09 on ___ , 10 minutes after discovery .