Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate right pneumothorax which is slightly larger than on the prior exam . Right upper lobe pigtail catheter is again visualized . Left - sided pigtail catheter is also seen . The pneumothorax on the left is less apparent . There is pneumomediastinum and marked subcutaneous emphysema left greater than right . ET tube and NG tube are unchanged .
    OUTPUT:
    
Increased right pneumothorax .