Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Comparison is made with the next preceding similar study of ___ . On the present examination , the patient is mildly rotated to the left , which accounts for slightly asymmetric presentation of the frontal chest view . The heart size remains within normal limits . No pulmonary congestive pattern is identified . A left - sided pneumothorax has increased and is specifically well demonstrated along the left lateral chest wall and the basis at the diaphragmatic level where an air - fluid level can be identified . There is no evidence of new pulmonary parenchymal infiltrates .
    OUTPUT:
    
Increasing left - sided pneumothorax with significant reduction of pulmonary tissue in comparison with the previous examination . Immediate efforts were made to alert the referring physician , ___ . ___ . As she could not be reached , responsible nurse ___ , ___ , was reached by telephone and informed about the changes at 5 :50 p .m .