Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the earlier study , no change in the positioning of the multiple support and monitoring devices . There appears to be a tiny 2 - 3 mm right apical pneumothorax , but without evidence of mediastinal shift . There is no focal consolidation or pleural effusions . Heart size is borderline , but unchanged .
    OUTPUT:
    
New tiny 2 - 3 mm right apical pneumothorax , without evidence of mediastinal shift .