Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A small left apical pneumothorax is present . Mediastinal clips denote recent left internal mammary node dissection . The heart size is top normal , increased in caliber since ___ . Central pulmonary vascular congestion is present but there is no overt edema . There is no pleural effusion .
    OUTPUT:
    
Small left apical pneumothorax . The initial findings were discussed by Dr . ___ with ___ of the PACU by telephone at the time of interpretation , 2 :05 p .m . on ___ . Dr ___ was also paged at 1 :54 PM .