Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A pigtail catheter projects over the right mid upper hemithorax , overall unchanged . A small right apical lateral pneumothorax has increased in size compared the exam only earlier today . Otherwise , no significant interval change in heterogeneous extensive bilateral lung opacities . Appearance of the cardiomediastinal silhouette is also unchanged . Lung volumes are low and atelectasis bilaterally is also overall unchanged . No evidence of tension . No pleural effusion .
    OUTPUT:
    
Interval increase in size of the now small right apical pneumothorax . No significant interval change otherwise .