Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compare with the prior radiograph , the right IJ central line and nasogastric tubes have been removed , and the patient is now extubated . Left - sided chest tube is unchanged in position , , but there is evidence of a tiny left apical pneumothorax , with a pleural line projecting in the left third interspace . There is no associated mediastinal shift . Mediastinal drain again noted . No new focal consolidation . A left pleural effusion is small . Median sternotomy wires are intact . Cardiomediastinal silhouette is otherwise unchanged .
    OUTPUT:
    
New tiny left apical pneumothorax , without mediastinal shift . Left chest tube is unchanged in position .