Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is rightward rotation of the patient on the current exam . There has been interval removal of ET tube . The left - sided chest tube remains in place , however , there is now a moderate - sized left pneumothorax . Additionally , there is a small amount of new intraperitoneal air visible under the right hemidiaphragm . ___'s sign is seen on lateral view . There is unchanged mild DJD of the thoracic spine . There has been interval decrease in the amount of left - sided subcutaneous emphysema . There are no focal lung consolidations . There is no evidence of pulmonary vascular congestion . There may be minimal bilateral pleural effusions .
    OUTPUT:
    
1 . New left pneumothorax , with chest tube in place . Correlate clinically - consider repositioning of chest tube . 2 . New small amount of free intraperitoneal air . CT may be performed to further assess .