Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided chest tube is again seen , and there is increased subcutaneous emphysema on the right . Right apical pneumothorax is present which is increased in size compared to the study from earlier the same day , and in diameter from the apex of the bony thorax measures 4 .6 cm . There is a small right pleural effusion , right lower lobe volume loss , and probable right lower lobe infiltrate .
    OUTPUT:
    
Increased right - sided pneumothorax .