Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to prior study , there has been interval removal of the left chest tube and there has been increase in the left - sided pneumothorax with an increase in the apical component and now with development of a unusually sharp demarcation of the left heart border suggesting a small medial component of pneumothorax . Otherwise , there is persistent small left effusion and bibasilar atelectasis .
    OUTPUT:
    
Increase in left apical pneumothorax now with suggestion of a small medial component after removal of chest tube . Results were discussed over the telephone with Dr . ___ by Dr . ___ at 9 : 35 am ___ at time of initial review .