Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright chest radiograph was obtained . Midline sternotomy wires and mediastinal clips are again noted . A left chest tube is seen entering the left lobe lateral chest wall with tip oriented at the left lung apex . Subcutaneous emphysema is noted along the chest tube insertion site at the left chest wall . There is left basal atelectasis and slight volume loss in the left lung . No pneumothorax is seen . There is blunting of the right CP angle which could indicate a small right pleural effusion . An azygos lobe is noted . Overall , cardiomediastinal silhouette appears normal . There is suture material at the left lung apex .
    OUTPUT:
    
Status post left VATS with post-surgical changes including atelectasis and volume loss in the left lung with left chest tube positioned appropriately .