Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest film ___ at 01 :54 is submitted .
    OUTPUT:
    
There is a stable small right apical and lateral pneumothorax . Three right - sided chest tubes remain in place . A left subclavian PICC line is unchanged in position . The patient 's mandible obscures part of the apices . The cardiac and mediastinal contours remain enlarged which may reflect cardiomegaly , although pericardial effusion should also be considered . There is a stable layering left effusion with associated retrocardiac opacity which may represent lower lobe atelectasis , although pneumonia or aspiration should also be considered . There is increasing perihilar vascular indistinctness suggestive of superimposed mild perihilar edema .