Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided apical lateral pneumothorax measuring 23 mm in the craniocaudal plane . Intercostal drain in situ in the right pleural space . Mild interval increase in size of the right hemithorax . Evidence of previous left pneumonectomy . Endotracheal tube in situ with the tip 53 mm proximal to the carina . Left - sided PICC line in situ with the tip at presumably the cavoatrial junction . Nasogastric tube in the proximal stomach with the side hole above the hemidiaphragm and advancement is advised .
    OUTPUT:
    
Interval increase in size of the small right - sided pneumothorax with chest tube in place . Advancement of the nasogastric tube by approximately 5 cm is advised .