Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral radiographs of the chest demonstrate interval growth in the size of the right apical pneumothorax when compared to the most recent prior study . The small right pleural effusion is unchanged in size . There is persistent rounded atelectasis in the left lower lobe . The lungs are otherwise clear . Heart size is normal and multiple calcified bilateral hilar lymph nodes are consistent with the patient 's history of sarcoidosis . Pulmonary vascularity is normal .
    OUTPUT:
    
Right - sided hydropneumothorax with interval increase in the amount of pleural air , with stable small layering effusion .