Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph demonstrates a left chest wall pacer device with a lead overlying the right ventricle , PA catheter terminating in the main pulmonary artery , VAD , endotracheal tube terminating in the mid thoracic trachea , and enteric tube coursing below the diaphragm and off the inferior edge of the image . There has been interval removal of a right / mediastinal chest tube , with development of a small right apical pneumothorax . Cardiomegaly is unchanged , as is retrocardiac opacity . No new focal consolidation is identified . A small left pleural effusion is unchanged .
    OUTPUT:
    
1 . Interval removal of a right chest tube , with a new small right apical pneumothorax . 2 . Unchanged retrocardiac opacity , cardiomegaly , and small left pleural effusion .