Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right IJ central line tip overlies the cavoatrial junction . Compared with the prior study , a left - sided chest tube has been removed . Possible tiny left apical pneumothorax . As before , there are sternotomy wires with mild prominence of the cardiomediastinal silhouette . There is upper zone redistribution and diffuse vascular blurring , compatible with mild CHF . Platelike at atelectasis the right midzone again noted . Compared to the prior film , inspiratory volumes are lower and there is more pronounced increased retrocardiac opacity and atelectasis at the right base . There is obscuration of both costophrenic angles which is new or more pronounced on the current study . Incidental note is made of marked narrowing of the right acromial humeral distance , consistent with chronic rotator cuff tear .
    OUTPUT:
    
Interval removal of left chest tube . Suspect tiny left apical pneumothorax . Mild vascular plethora and vascular blurring , consistent with mild CHF . This appears slightly worse compared with the prior film . Lower inspiratory volumes with bibasilar collapse and / or consolidation and possible small effusions . The opacity is more pronounced at the left base . Findings compatible with chronic right rotator cuff tear .