Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The support devices are unchanged with bilateral chest tubes . Interval increase in the left apical pneumothorax that is moderate . No mediastinal shift . The 8 apical pneumothorax has also increased and is now small pure bilateral lower lobe airspace opacities have not significantly changed . There is possible new pneumomediastinum . Left chest wall subcutaneous emphysema has slightly increased .
    OUTPUT:
    
Bilateral apical pneumothoraces have increased , no evidence of tension . Increasing small amount of pneumomediastinum .