FINDINGS:
There has been interval decreased left pleural effusion following
 thoracentesis.  There is a small left apical pneumothorax.  There is no
 significant interval change in pulmonary vasculature or cardiomediastinal
 silhouette.  Interstitial edema has slightly improved.  Right-sided PICC,
 left-sided ICD and median sternotomy wires are in place and unchanged in
 position.

IMPRESSION:
Interval decrease of left pleural effusion from thoracentesis.  Small left
 apical pneumothorax.