Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi upright radiograph the chest demonstrates low lung volumes with resultant bronchovascular crowding . Two pigtail chest tubes project over the right hemi thorax with the more superior pigtail incompletely formed . Kinking can not be excluded on the current single view . There has been interval decrease in size of the right - sided pleural effusion , however there is a new small right - sided lateral pneumothorax . The cardiomediastinal and hilar contours are unchanged . A a right - sided central venous line ends at the cavoatrial junction . Median sternotomy wires are in place .
    OUTPUT:
    
New a small lateral right - sided pneumothorax status post new pigtail chest tube placement .