Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison with ___ status the cardiomediastinal silhouette is unchanged . There is a right basilar chest tube that remains unchanged in position now with a new small right apical pneumothorax . Layering of right pleural effusion is grossly stable . Pulmonary vascular congestion appears worsened on today 's study . There multiple dilated loops of bowel which if clinically indicated to be better evaluated with a plain film abdominal radiograph .
    OUTPUT:
    
New small right apical pneumothorax with grossly stable right pleural effusion and worsening of pulmonary vascular congestion . Multiple dilated loops of bowel which if clinically indicated be better evaluated with plain film abdominal radiography .