Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Unchanged small left apical pneumothorax without evidence of tension . There is a left pleural effusion with overlying opacities likely reflective of atelectasis . New pulmonary vascular congestion and patchy diffuse airspace opacity which likely reflect pulmonary edema . There is new widening of the vascular pedicle in cardiac silhouette which also support new pulmonary edema .
    OUTPUT:
    
Unchanged small left apical pneumothorax . New pulmonary edema .