Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is increased size of the left pneumothorax which is seen both laterally and medially . This is superimposed on the diffuse lung disease previously described . There is increased subcutaneous emphysema . Bilateral chest tubes , left central line , ET tube , and NG tube are unchanged At the time of dictating this study followup films had already been obtained
    OUTPUT:
    
Moderate left pneumothorax , increased compared to prior .