Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior study , the previous left pneumothorax has now significantly enlarged , without evidence of mediastinal shift . No change in right - sided pigtail catheter . The left - sided pigtail catheter appears to have been rotated . Previous right apical pneumothorax is no longer detected . The endotracheal tube projects 3 .6 cm above the carina . A right IJ central line is unchanged in position . Multiple cavitary lesions in the lungs are re - demonstrated .
    OUTPUT:
    
New moderate to large left - sided pneumothorax without mediastinal shift . Previous right apical pneumothorax is no longer detected .