Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a small left apical pneumothorax which was not apparent previously . The left lung apex now lies approximately 15 mm below the inferior margin of the left first rib . There is minimal streaky density at the lung bases consistent with subsegmental atelectasis . The lungs appear otherwise clear mediastinal structures are stable . Bilateral chest tubes , a mediastinal drain and a right internal jugular catheter remain in place .
    OUTPUT:
    
Clearing of mild vascular congestion . There is interval development of a small left apical pneumothorax . No other significant change .