Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval displacement of the left pigtail catheter outside of the pleural space . There is an associated large pneumothorax with resultant collapse of the left lung and mediastinal shift to the right . The right lung is clear , and the heart is normal in size . A cardiac matter a pack is noted over the left chest .
    OUTPUT:
    
Interval displacement of the left pigtail catheter out of the pleural space with associated large pneumothorax , collapse of the left lung and rightward shift of the mediastinum .