FINDINGS:
When compared to  11:35 chest radiograph, there is no change in
 size of the small left apical pneumothorax.  Both lungs are hyperinflated with
 stable emphysematous changes. The cardiomediastinal silhouette, hila, and
 pleural surfaces are normal.

IMPRESSION:
1.  No change in size of the small left apical pneumothorax since :35 today.