Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The weighted feeding tube is noted to pass below the diaphragm with weighted tip in the expected region of the stomach . Sternotomy wires are midline and intact . A right - sided chest tube is unremarkable . A right apical pneumothorax has increased in size compared to the prior examination . A left pleural effusion is larger compared to the most recent prior examination . No focal consolidation is noted . Mediastinal and hilar contours are unchanged from the prior examination .
    OUTPUT:
    
Right apical pneumothorax has increased slightly since the most recent prior examination . Left pleural effusion is increased in size compared to the prior examination . Findings were discussed with Dr . ___ on ___ at 5 : 14 p .m . at the time of discovery of findings .