Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided chest tube is present . Compared to the outside chest x-ray from ___ , a slight curve is noted in the chest tube . There is new semi lunar opacity projecting over the mid / lower lung as well as fluid tracking along the right chest wall and into the right lung apex , which has increased compared with the prior film . There is also residual lucency at the right lung base . Cardiomediastinal silhouette is unchanged . There is pleural fluid at the left lung apex which has increased . Possible minimal pleural fluid fluid or thickening along the left inferior chest wall and into the left costophrenic angle . Minimal atelectasis at the left lung base . No gross left consolidation . The patient has known rib fractures , better depicted on the ___ chest CT .
    OUTPUT:
    
Right - sided chest tube again seen . New / increased pleural fluid extending along the right chest wall , into the right lung apex . Semi lunar density over the right lung base could represent fluid in the minor fissure or alternatively , a collapsed lung segment . If clinically indicated , a lateral view may help for further characterization . Lucency at the right lung base is again noted , compatible with the patient 's known pneumothorax . Pleural fluid tracking along the left chest wall and into the left lung apex is also increased compared with the prior film , though is less pronounced than in the right chest . No left - sided pneumothorax detected .