Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Status post sternotomy , with prominent cardiomediastinal silhouette , not significantly changed . Again seen is bibasilar collapse and / or consolidation , with small bilateral effusions . Also again seen is mild vascular plethora . Bilateral chest tubes are present . The ET tube NG tube and Swan - Ganz catheter have been removed . There is a new small right apical pneumothorax .
    OUTPUT:
    
1 . Small right apical pneumothorax , new compared with the most recent prior film . 2 . Interval removal of some support tubes and lines . Otherwise , I doubt significant interval change .