Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post left thoracentesis . A small left apical pneumothorax is seen . Re - demonstration of complete opacification of left hemithorax is seen when compared with previous same - day study . Increase of the leftward mediastinal shift following thoracentesis and small pneumothorax is suggestive of complete left lung collapse along with pleural effusion and tumor . Multiple right lung nodules are again seen and unchanged consistent with metastatic disease . Left bronchial stent is seen again and unchanged in position .
    OUTPUT:
    
1 . Patient is status post thoracentesis with a small left apical pneumothorax . 2 . Left hemithorax opacification with increased left mediastinal shift suggestive of left lung collapse along with pleural effusion and tumor burden .