Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest radiograph . The right apical pneumothorax is slightly larger done on examination from 24 hours prior . Diffuse interstitial opacities have and moderate left pleural effusion has increased . Tracheostomy tube and left - sided PICC are in stable position . The cardiomediastinal silhouette is stable . Several left lateral rib fractures are still visible .
    OUTPUT:
    
1 . Slightly enlarged right apical pneumothorax . 2 . Worsened , mild pulmonary edema . 3 . Enlarging left moderate pleural effusion . Findings were discussed by Dr . ___ with Dr . ___ by phone at 9 :06 a .m . on ___ .