Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right apical lateral pneumothorax has increased in size in the interim after placing the chest tubes to water seal . No evidence of tension . 2 right pigtail catheters projecting over the right main hemithorax , unchanged . Blunting of the right costophrenic angle , likely reflects small pleural effusion , unchanged . Overall appearance of the left lung is unchanged . Multiple right endobronchial valves are unchanged . No focal consolidation or edema .
    OUTPUT:
    
Interval increase in size of right apical lateral pneumothorax after placing chest tubes to water seal .