Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . A left ICD / Pacemaker with lead terminating in the right ventricle is new . Lungs are well inflated and grossly clear . Minimal atelectasis at the lingula is unchanged . No pleural effusion . There is a questionable , tiny apical pneumothorax . Hilar contours are normal . Moderate cardiomegaly is unchanged .
    OUTPUT:
    
1 . Questionable left tiny apical pneumothorax . Recommend repeat radiograph . 2 . A left ICD / Pacemaker with lead terminating in the right ventricle is new from ___ . 3 . Moderate cardiomegaly is unchanged .