Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate - sized left apical pneumothorax . The right lung remains hyperinflated , consistent with patient 's known diagnosis of COPD . There are no focal areas of consolidation . The heart size is normal . The aorta remains tortuous . Left - sided rib deformities are noted but similar in appearance to the prior studies and likely reflect old rib fractures . No acute displaced rib fractures are noted . Surgical clips overlie the right lower lung .
    OUTPUT:
    
New moderate - sized left apical pneumothorax . Findings were discussed with Dr . ___ at 1 :40 p .m . on ___ via telephone .