Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided pigtail catheter is again seen . There is a large right pneumothorax that is increased in size compared to prior . Subcutaneous emphysema has also increased in size . There is mediastinal shift to the left . The left lung is clear . The left hemidiaphragm is slightly elevated . There is volume loss in the right lower lobe . There continues to be a fiducial marker in the right lung mass .
    OUTPUT:
    
Increased size of right pneumothorax .