Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a tiny left apical pneumothorax , smaller compared to the prior day . Severe cardiomegaly is again seen . There is small left effusion and tiny right effusion . The left effusion has increased compared to prior study . There continues to be retrocardiac opacity consistent volume loss / infiltrate / effusion .
    OUTPUT:
    
Decreased size of left apical pneumothorax .