Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right pigtail pleural catheter has been placed , with evacuation of right pleural effusion , but development of a moderate right pneumothorax , with apical visceral pleural line at level of the right fourth posterior rib . Within the lungs , widespread nodular and reticular opacities are similar in appearance to the previous study , and in keeping with widespread metastatic disease in this patient with underlying history of metastatic salivary carcinoma . Mediastinal and hilar lymphadenopathy are seen to better detail on the recent CT and are radiographically stable . Small left pleural effusion has slightly increased since the previous chest radiograph .
    OUTPUT:
    
1 . New moderate right apical pneumothorax with pigtail pleural catheter in place . Dr . ___ was telephoned with this finding , ___ at 4 :45 p .m . at time of discovery . 2 . Widespread metastatic disease .