Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to prior chest radiograph from ___ , a left apical pneumothorax is identified with air extending adjacent to the medial portion of the lung . There is no pneumomediastinum . Bibasilar atelectasis and pleural effusions are noted . Support and monitoring devices are in unchanged position . There is air above the left hemidiaphragm , consistent with free intraperitoneal air and likely related to recent surgery .
    OUTPUT:
    
1 . Left apical pneumothorax with air extending along the medial aspect of the left lung . 2 . Free intraperitoneal air , likely related to recent surgery . These findings were discussed with Dr . ___ ___ Dr . ___ ___ telephone on ___ at 11 : 18 a .m . , at time of discovery .