Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is little change compared to prior examination with redemonstration of a left - sided apical chest tube without pneumothorax . A left - sided ICD remains in unchanged position . There is a demonstration of mild - to - moderate cardiomegaly without evidence of fluid overload or interstitial edema . Lung volume remains slightly low with bibasilar atelectasis . There is persistent tiny right - sided pleural effusion .
    OUTPUT:
    
Little change compared to prior study with unchanged left apical chest tube without pneumothorax .