Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left - sided chest tube , endotracheal tube , Swan - Ganz catheter , and nasogastric tubes have been removed . There is a small pneumothorax in the left apex . There is increased hazy opacity in the right lower lung , likely reflecting layering effusion combined with loss of lung volume . Compared to prior study , there is slightly more pulmonary vascular congestion . Heart size has increased in size .
    OUTPUT:
    
Small pneumothorax in the right apex .