Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube is seen terminating 4 .7 cm above the carina . There is again seen an NG tube with distal tip projecting below lower limit of film . A right - sided IJ central line is seen in essentially stable position projecting over the mid SVC . There is a stable left - sided chest tube , however despite this the left pneumothorax has redeveloped a large apical component , which now measures 5 .9 cm from the apex of lung to apical chest wall . Despite differences in technique / patient positioning in comparison to prior radiographs , this is almost certainly significantly increased in size . The cardiomediastinal silhouettes are normal . The bilateral hila are normal . There is increased opacification of most of the left lung due to relaxation atelectasis in the setting of left pneumothorax . There may be a small left pleural effusion . The right lung appears well aerated without evidence of focal consolidation . There is no right pleural effusion or right pneumothorax . There is no evidence of pulmonary vascular congestion .
    OUTPUT:
    
Redevelopment of left apical pneumothorax . Secondary relaxation atelectasis of most of left lung . Possible small left pleural effusion . Otherwise no significant interval changes .