Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to examination from two hours prior , there has been significant progression of right pneumothorax which is large in size easily seen apically , laterally and inferiorly with clear delineation of the right upper lobe and minor fissure with signs of early tension with flattening of the right hemidiaphragm . The left lung remains clear .
    OUTPUT:
    
Significant increase in size of a large right pneumothorax with early tension . Results were discussed over the telephone with the interventional pulmonary team by Dr . ___ at 2 :40 p .m . on ___ at time of initial review and again with Dr . ___ at 3 :57 p .m .