Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral chest tubes appear in unchanged positions . There is also a peritoneal drain projecting over the right upper quadrant of the abdomen as well as multiple surgical clips . A small - to - moderate right - sided pneumothorax appears probably increased slightly . Near the entry site of the chest tube on the right , a small quantity of emphysema is probably unchanged in extent . Opacification of the right lower and right middle lobes is probably due to substantial atelectasis which has not improved . Streaky left mid - to - lower lung opacities are also unchanged , suggesting a lesser degree of atelectasis . There is no definite pleural effusion on the left or persistent pneumothorax on that side .
    OUTPUT:
    
Small suspected increased in right - sided pneumothorax allowing for differences in technique .