Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to ___ chest x-ray earlier in the day , left apical pneumothorax is stable . Moderate left - sided effusion with increasing atelectasis has progressed . There is also slight increase in the segmental atelectasis in the right lower lobe . Numerous displaced continuous left - sided rib fractures . The heart is not enlarged .
    OUTPUT:
    
Stable left apical pneumothorax . Worsening left moderate effusion / hemothorax and atelectasis .