Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable semi upright radiograph of the chest demonstrates a large left - sided pneumothorax and substantial left lower lung collapse with mediastinal shift to the left . The bilateral chest tubes remain in place . There is a stable appearing small right - sided pneumothorax . The endotracheal tube terminates at the thoracic inlet level , with persistent apparent overdistention of the endotracheal tube cuff .
    OUTPUT:
    
1 . Interval re-accumulation of large left - sided pneumothorax and substantial left lower lung collapse . 2 . Endotracheal tube tip terminates at the thoracic inlet level with persistent apparent overdistention of the endotracheal tube cuff .