Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a small left apical pneumothorax with an unchanged left pigtail catheter . Left basilar atelectasis and small left pleural effusion is stable . Unchanged moderate cardiomegaly . Right pleural effusion is unchanged . No change in the tracheostomy tube , right IJ dialysis catheter , and right PICC line . Intact median sternotomy wires and mediastinal clips noted .
    OUTPUT:
    
Small left apical pneumothorax , with unchanged right greater than left pleural effusions and left chest tube placement .