Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: 2 right - sided chest tubes with moderate right pneumothorax are again visualized . Left - sided chest tube is seen with dramatic decrease in the left pleural effusion . There is still small residual pleural effusion layering posteriorly . There is volume loss in the left lower lung . There is volume loss / infiltrate in the right lower lung . The tracheostomy tube is unchanged . NG tube tip is in the stomach . 2 bullets are seen 1 on each side of the chest it is a bullet fragments in the midline
    OUTPUT:
    
Interval marked decrease in the pleural effusion on the left