Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right chest wall Port - A - Cath is present as well as an left chest wall dual lead AICD . A left chest drain is present . Unchanged trace left apical pneumothorax . There are bilateral pleural effusions , greater on the right with overlying atelectasis . The size and appearance of the cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
No significant interval change from the prior examination with a persisting trace left apical pneumothorax .