Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No left apical pneumothorax . Overall unchanged appearance of the lungs and heart . Stable left lower lung focal consolidation and / or atelectasis . Stable reduced left lung volume . Possible small left pleural effusion , unchanged . Stable cardiomegaly without pulmonary edema . RIJ unchanged in position .
    OUTPUT:
    
No left apical pneumothorax .