Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the chest radiograph obtained 1 day prior , there has been interval removal of the right - sided pleural drainage catheter . Small left apical pneumothorax is unchanged . Approximately 1 .5 cm right apical pneumothorax is new . Cardiomegaly is unchanged since 1 day prior , but new since 4 days prior . Increased left lower lobe atelectasis and probably a new , small left pleural effusion . A small rounded opacity in the lateral right lung is likely a focus of atelectasis or hematoma in the prior location of the pleural drainage catheter . Lungs are otherwise fully expanded and clear .
    OUTPUT:
    
New right apical pneumothorax as described above . Unchanged , small , left apical pneumothorax . Cardiomegaly unchanged since 1 day prior , but new since 4 days prior . Correlation with echocardiogram recommended .