Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine radiograph of the chest demonstrates interval development of large left pneumothorax with no significant mediastinal shift or signs of tension . An endotracheal tube terminates 6 .8 cm above the level of the carina . An esophageal tube courses below the diaphragm and out of view . Widespread right lung parenchymal opacities persist , consistent with ARDS . Cystic and linear lucencies in the right lung are likely due to pulmonary interstitial emphysema ( PIE ) . There is gaseous distension of the stomach .
    OUTPUT:
    
New large left pneumothorax with no evidence of tension . The above findings were communicated to Dr . ___ by Dr . ___ ___ telephone at 8 :51 a .m . , at the time of review .