Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the earlier radiographs , the left - sided pneumothorax has again enlarged , now with apparent slight rightward cardomediastinal shift . The left pigtail catheter appears rotated compared to the prior study . No change to the positioning of the endotracheal tube and right IJ lines . Multiple cavitary lesions in the right lung are again seen .
    OUTPUT:
    
Interval enlargement of the left - sided pneumothorax , with apparent slight rightward cardiomediastinal shift . In discussion with the MICU resident , the patient 's vital signs were stable , but she does have a history of tension pneumothorax .