IMPRESSION:
The known and pre described right apical lateral pneumothorax has slightly
 decreased in extent. The small amount of right pleural effusion is unchanged.
 The right lung basis shows minimally increasing atelectasis. On the left, no
 relevant change is seen. The left and right chest tube as well as the left
 PICC line are in unchanged position. Unchanged mild retrocardiac atelectasis.
 Unchanged size of the cardiac silhouette.  Mild gastric overdistension is
 noted.