Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , a small right apical pneumothorax is slightly increased with right lower lung collapse and measures 2 .1 cm from the apex . A loculated pleural effusion in the minor fissure is new and small right pleural effusion is also increased . The right pigtail catheter appears very low . The left lung is essentially clear . Hyperinflated lungs are suggestive of emphysema . The heart size is stable . No pulmonary edema .
    OUTPUT:
    
Small right apical thorax is increased , a loculated right pleural effusion in the minor fissure is new , and small right pleural effusion is increased since ___ .