Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest tube has been removed and there is a new small left pneumothorax . Increased gastric distension . Moderate cardiomegaly is unchanged . Bibasilar and left retrocardiac atelectasis is unchanged . Right pacemaker , right jugular venous catheter , and left port - a-cath are in unchanged and appropriate locations . No pleural effusions .
    OUTPUT:
    
Since ___ 9 : 11 AM , new left pneumothorax and increased gastric distension .