Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiograph again demonstrate a normal cardiomediastinal silhouette and a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure . The left apical pneumothorax is likely unchanged . Minimal increase may be secondary to changes in patient position . There is no right pneumothorax . Again seen are bilateral pleural effusions , the right effusion similar to slightly decreased and the left effusion increased . There is no focal consolidation .
    OUTPUT:
    
1 . Likely unchanged small left apical pneumothorax . 2 . Increased left pleural effusion . Unchanged to slightly decreased right pleural effusion . 3 . Redemonstration of a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure .