Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate right pneumothorax is little changed at the apex , again extending the fifth posterior rib , however , there is increased air seen laterally at the right lung base . Additionally , previously present though retrospectively increased in conspicuity is a coexistent small - moderate left pneumothorax , seen at the apex , medially , and at the left base . Bilateral pleural effusions persist , less conspicuous likely due to positioning . There is no new parenchymal opacity . The hilar and cardiomediastinal contours are unchanged .
    OUTPUT:
    
Interval increase in bilateral pneumothoraces , moderate on the right and small to moderate on the left . ___ was informed at noon on ___ by Dr . ___ ___ phone .