Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The very small left apical pneumothorax has increased compared with the prior study of ___ , now moderate in size . Allowing for rotation there is no apparent midline shift . There are stable atelectatic changes at the left apex and both lung bases . A moderate left pleural effusion is increased with associated compressive atelectasis . The density of the left mid lung likely represents loculated pleural effusion , however consolidation can not be ruled out . The cardiomediastinal silhouette is normal . There is no pulmonary edema .
    OUTPUT:
    
1 . Moderate left apical pneumothorax has increased . 2 . Moderate left pleural effusion with associated compressive atelectasis has increased .