Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left apical chest tube is essentially unchanged in position . There has been interval removal of the left subclavian central venous catheter . There is a new small left apical pneumothorax . Increased retrocardiac opacification is likely due to atelectasis . Mild blunting of the left costophrenic angle may be due to a new small left pleural effusion . The right lung is hypoinflated , somewhat limiting evaluation . However , indistinctness of the vessels at the medial right lung base may be due to developing airspace disease .
    OUTPUT:
    
New small left apical pneumothorax with chest tube in place . New small layering left pleural effusion . New left lower lobe subsegmental atelectasis . Indistinctness of the vessels at the medial right lung base raises suspicion for aspiration .