Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post left VATS lobectomy and pleurodesis . There is a a small to moderate left apical pneumothorax , not significantly changed since the prior radiograph . No mediastinal shift . The right lung is clear . The size of the cardiomediastinal silhouette is within normal limits . Subcutaneous emphysema is again noted over the left lateral chest wall .
    OUTPUT:
    
No significant interval change in the size or appearance of a small to moderate left apical pneumothorax .