Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided pigtail catheter has been removed . A tracheostomy tube remains in place . Right PICC line terminates at the superior cavoatrial junction . The apparent slight decrease in the small left pleural effusion may be positional . Small right pleural effusion is stable . There is a new tiny right apical pneumothorax . Mild pulmonary edema has increased . Moderate cardiomegaly despite the projection is unchanged .
    OUTPUT:
    
New tiny right apical pneumothorax following right pigtail catheter removal . Increased mild pulmonary edema . Small bilateral pleural effusions .