Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A small - to - moderate right apical pneumothorax is unchanged in extent from ___ . Emphysema / COPD is unchanged . Mass - like opacities in the right lung base are again seen . There are small bilateral pleural effusions , which are unchanged . The cardiomediastinal contours are within normal limits and unchanged . A tracheostomy tube , enteric feeding tube , right IJ central venous catheter and right pleural pigtail catheter are unchanged in position . The amount of subcutaneous emphysema along the right lateral chest wall is similar to the prior study .
    OUTPUT:
    
No significant change in extent of small - to - moderate right apical pneumothorax from ___ .