Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a new large left - sided pneumothorax with a deep sulcus sign with rightward displacement of the mediastinum raising concern for tension pneumothorax . Otherwise , there is a new left - sided central line that is seen crossing the midline and ending likely at the confluence of the brachiocephalic veins . An esophageal tube is noted with the tip beyond the gastroesophageal junction . The endotracheal tube has its tip 3 cm above the carina , unchanged compared with prior exam . Again seen is right lower lung opacities that now appear slightly more conspicuous than in prior likely secondary to underlying basal atelectases . There is also blunting of the right costophrenic angle , which may be secondary to atelectatic lung .
    OUTPUT:
    
1 . Large left - sided pneumothorax with rightward displacement of the mediastinum raising concern for tension pneumothorax . 2 . Supporting devices as described above . 3 . More conspicuous opacities in the right lung base are compatible with worsening atelectasis in the setting of right lower lobe pneumonia / aspiration .