Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to the chest radiograph from earlier today the ___ a spinal drains and chest tube have been removed . There is a new small left apical pneumothorax . Increasing bibasal opacities are likely worsening atelectasis . Small bilateral pleural effusions . Mild pulmonary vascular congestion has increased . Moderate cardiomegaly .
    OUTPUT:
    
New small left apical pneumothorax .