Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval development of a large left - sided pneumothorax , with displacement of the mediastinum to the right . The right lung base also shows more conspicuous opacities secondary to new atelectasis in the setting of previously existent right basal opacities . There is no right sided pleural effusion or pneumothorax . A new left - sided IJ line is seen crossing the midline and ending at the confluence of both innominate veins . An esophageal tube ends below the gastroesophageal junction and the endotracheal tube is unchanged in position compared with prior exam , ending 3 cm above the carina .
    OUTPUT:
    
1 . New large , left pneumothorax , probably tension . 2 . Supporting devices as described above . 3 . As previously noted , opacification of the right lung base is compatible with pneumonia and / or recent , major aspiration . These findings were immediately communicated to the ED clinical team via pager and via urgent wet read entered in ther ED dashboard by Dr ___ on ___ at 2 : 20 am immediately after discovery of the findings .