Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . Tracheostomy tube in place . Right IJ line tip over distal SVC . Right - sided chest tube is present . The chest tube extends to the apex of the right lung . A suture line is seen the base of the right apex and there is relative lucency above this , with paucity of vessels . This presumably represents a site of postoperative air / pneumothorax . The appearance is similar to recent prior films , allowing for differences in positioning . Also again seen are lucent locules at the base of the right lung , which have been previously attributed to pneumothoraces . Allowing for differences in positioning , I doubt gross interval change in the knees sees at the base of the lung . Again noted is a rounded density abutting the lower right chest wall , similar prior . As before , there is prominence of the right hilum and mild prominence of vessels about the right hilum with slight surrounding hazy opacity . There additional sites of sutures in the right mid lung . These are all similar to the prior study . The left lung shows a small left effusion , unchanged . Allowing for iatrogenic materials overlying the left lung apex , the left lung remains grossly clear . The known left apical suture line is faintly seen . Possibility of a small left apical pneumothorax can not be excluded .
    OUTPUT:
    
Right - sided chest tube tip at right lung apex . Doubt significant change in the presumed pneumothoraces at the right lung apex and right lung base . Right hilum and surrounding vascular prominence and faint opacity is unchanged . Left apex is obscured by overlying iatrogenic materials . The possibility of a small left pneumothorax can not be evaluated . Allowing for this , left lung is unchanged . Probable small left pleural effusion , unchanged .