Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Following removal of a right - sided chest tube , a moderate pneumothorax has slightly increased in size , with apical visceral line now located between the fourth and fifth posterior rib levels and previously at the third posterior rib level . Confluent area of opacity is present at the surgical chain suture site in the right upper lung , and there are new areas of a multifocal patchy and linear opacity in the mid and lower lung on the right as well as a worsening area of linear atelectasis at the left base . Small pleural effusions are present bilaterally as well as an area of loculated fluid laterally adjacent to the surgical sutures .
    OUTPUT:
    
1 . Increased size of right pneumothorax following chest tube removal as communicated by telephone to Dr . ___ on ___ at 12 :15 p .m . 2 . Increasing right mid and lower lung opacities . 3 . Small bilateral pleural effusions .