Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable chest radiograph demonstrates persistent moderate sized right apical pneumothorax without evidence of tension . There are small effusions bilaterally with persistent unchanged pneumoperitoneum . The left lung is grossly clear with no new focal consolidations . The cardiomediastinal and hilar contours are unchanged and within normal limits .
    OUTPUT:
    
Unchanged persistent moderate right apical pneumothorax without tension .