Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable supine view of the chest . Left pigtail chest tube is again seen with increased size of left pneumothorax now moderate . No convincing evidence for tension . Endotracheal and orogastric tubes are unchanged . Lower lung consolidations again noted . Partially imaged left humeral shaft fracture , chronicity unknown .
    OUTPUT:
    
Increasing left pneumothorax , now moderate in size without tension . Otherwise unchanged .