Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph again demonstrates a tracheostomy , right PICC in the mid to lower SVC , and a right chest pigtail catheter . The nasoenteric tube extends at least into the stomach ; the course beyond that is uncertain . A small right apical pneumothorax is is increased . A left pleural effusion is unchanged , as are bilateral opacities .
    OUTPUT:
    
Increased small right apical pneumothorax . These findings were communicated via telephone by Dr . ___ to Dr . ___ at ___ on ___ .