Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a large right apical pneumothorax that is increased in size compared to the study from the prior day . The appearance of the tracheostomy , PICC line , right pigtail chest tube , and feeding tube the tip of thumb are unchanged . There continues to be dense retrocardiac opacification and alveolar infiltrates in bilateral upper lobes and right lower lobe .
    OUTPUT:
    
right apical pneumothorax increased in size