Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of a left - sided chest tube with a persistent tiny left apical pneumothorax . . The cardiomediastinal and hilar contours are stable from the prior exam . Streaky bibasilar opacities are most consistent with atelectasis . In a oval lucent area seen at the base of the left lung likely represents an area of focal , loculated gas status post chest tube removal . There are small bilateral pleural effusions .
    OUTPUT:
    
Persistent Small left pneumothorax following chest tube removal . Small bilateral pleural effusions .