Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval development of a small right apical pneumothorax . Interstitial opacities , small left and small to moderate right pleural effusions . Opacity in the left lung base has increased in the interim . The cardiac silhouette remains normal in size , calcified mediastinal and bilateral hilar lymph nodes are unchanged . Chain suture material within the right lung is unchanged .
    OUTPUT:
    
1 . New right apical pneumothorax . 2 . Chronic changes of sarcoid , with slight interval increase in opacity at the lung bases likely representing increasing effusion . Findings were discussed with Dr . ___ at 11 a .m . by phone .