Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right pleural drain and left subclavian PICC are unchanged . Interval increase of right apical pneumothorax , now with layer of 1 .9 cm . Swan - Ganz catheter has been removed . New left perihilar opacities might be due to pulmonary edema . Heart size still mildly enlarged . Moderate - to - severe pulmonary emphysema is unchanged . There is no pleural effusion .
    OUTPUT:
    
Interval increase of right apical pneumothorax , persistent mild - to - moderate cardiomegaly in COPD patient , with new left perihilar opacities . Swan - Ganz catheter has been removed . Findings were reported by phone to Dr ___ at 6 pm by Dr ___