Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of the right upper chest tube . The right lower chest tube is still in place . There is a the right - sided pneumothorax inferolaterally in the region where the lower portion of the chest tube was previously located . An air - fluid level is seen in this region compatible with a hydro pneumothorax . The heart size continues to be moderately enlarged . There is a small left effusion .
    OUTPUT:
    
Increased right pneumothorax status post removal of the upper chest tube