Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a small right apical pneumothorax , not well appreciated on previous radiograph . There are small bilateral pleural effusions and bibasilar consolidations . Cardiomediastinal silhouette is unchanged . Patient is status post pacemaker placement , with leads terminating in the right atrium and right ventricle . A loop of bowel is seen as above the diaphragm , related to prior esophagectomy with gastric pull - through .
    OUTPUT:
    
1 . Small right apical pneumothorax . 2 . Small bilateral pleural effusions and bibasilar consolidations , may represent atelectasis versus pneumonia .