Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left apical pneumothorax is reduced . The lungs are persistently hyperinflated for severe emphysema . The right bibasilar pleural effusion has mildly increased . Heart size is stable . Left humeral head fracture .
    OUTPUT:
    
Reduced left apical pneumothorax , with increased bibasilar pleural effusion