Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates hyperexpanded lungs with bibasilar atelectasis a small right - sided pleural effusion . There has been interval removal of the right - sided chest tube . There is a small apical pneumothorax , which is unchanged from prior . The cardiomediastinal and hilar contours are unchanged . A right - sided internal jugular central venous line ends in the upper SVC .
    OUTPUT:
    
Small right apical pneumothorax is unchanged .