Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with prior radiographs performed on the same day on ___ at 05 : 11 , there has been interval increase in bilateral pneumothorax . Again seen is pneumomediastinum . There is no pleural effusion . Cardiomediastinal silhouette is unchanged . ET tube and NG tube are unchanged in position . Right central venous catheter terminates at the superior caval atrial junction .
    OUTPUT:
    
Interval worsening of bilateral pneumothorax . Pneumomediastinum , similar to prior .