Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right pigtail chest tube is again visualized . There is a small to moderate right apical and lateral pneumothorax that has increased in size compared to the study from the prior day . There is hazy infiltrate in both lower lungs with obscuration of the left hemidiaphragm suggesting more focal infiltrate / effusion in this region .
    OUTPUT:
    
1 . Increased right pneumothorax 2 . Increased left lower lobe infiltrate / effusion