Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs were obtained . In comparison to the prior study , the right apical pneumothorax is appears larger with pleural air now seen at the right base , creating a new hydropneumothorax . There are no signs of tension . The left lung is clear . No left pleural effusions . The cardiomediastinal silhouette is stable . Subcutaneous emphysema is again noted on the right lateral chest wall .
    OUTPUT:
    
Progression of right - sided pneumothorax with development of new right basilar hydropneumothorax , and no evidence of tension .