Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant changes compared to the prior examination . Right lung is fully expanded and clear . Moderate left pleural effusion with adjacent opacities . A left - sided chest tube is unchanged in position . Small left apical pneumothorax . Heart size and cardiomediastinal hilar silhouettes are unchanged .
    OUTPUT:
    
No significant changes compared to the prior examination with moderate left pleural effusion and small left apical pneumothorax .