Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: This is an upright film showing a large right pneumothorax , larger than on the study from the prior day . There is mediastinal shift to the right . The right - sided chest tube and skin ___ are again visualized . The left lung is clear . The ET tube and NG tube have been removed
    OUTPUT:
    
Increased right lung collapse with increased right pneumothorax and mediastinal shift to the right .