Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well inflated . The right apical pneumothorax is not changed . A right chest tube is in place . A left central venous catheter terminates in the SVC . A catheter overlies the epigastrium . The splenic flexure of the colon is moderately prominent . The mediastinum is normal . No pleural effusions identified The heart size is normal . Hypertrophic changes are seen in the AC joints .
    OUTPUT:
    
No change in the right apical pneumothorax .