Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The previously noted tiny right apical pneumothorax is not clearly visualized . The lungs are clear without focal consolidation , pleural effusion or pneumothorax . The cardiomediastinal silhouette is normal . Spinal fusion hardware is noted .
    OUTPUT:
    
Tiny right apical pneumothorax is not clearly visualized on this exam .