Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Marked interval increase in size of the loculated left - sided pleural effusion . There is associated air bronchograms suggesting adjacent lingular and left lower lobe collapse ( as there is no significant medial shift ) . Right - sided ICD in situ with interval decrease in the amount of pleural fluid . Right apicolateral pneumothorax measuring 7 mm in the craniocaudal diameter . Subcutaneous emphysema seen in the right lateral chest wall as well as in the right supraclavicular soft tissues .
    OUTPUT:
    
Small right - sided pneumothorax . Significant interval increase in size of the left - sided pleural fluid with adjacent pulmonary collapse . This preliminary report was reviewed with Dr . ___ , ___ radiologist .