Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ despite the presence of right apical chest drainage tube , a moderate to large right pneumothorax has grown , accounting for increased right lower lobe atelectasis and mild leftward deviation of the mediastinum , but no depression of the right hemidiagphragm . A right internal jugular central venous catheter still ends in the mid-to - low SVC . There is no appreciable pleural effusion , and no pneumonia . Heart size is normal . Mediastinal and hilar contours are normal . Surgical fixation plates and screws are intact spanning right ribs .
    OUTPUT:
    
Enlarging moderate to large right pneumothorax sufficient to shift mediastinum contralaterally , but not to displace the right hemidiaphragm . Findings were telphoned by Dr . ___ to Dr . ___ in the SICU at 9 : 28 a .m . on ___ .