Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: NG tube , right PICC , and tracheostomy tube are unchanged and in standard position . Right pigtail also unchanged with tip ending in right upper lung . As compared to chest x-ray of the same day of ___ at 3 : 24 a .m . , there is interval increase of right apical pneumothorax . There are bilateral opacities , upper lung predominant , unchanged and due to multifocal pneumonia . Heart size is unchanged , upper normal .
    OUTPUT:
    
Interval increase of right apical pneumothorax . Persistent multifocal pneumonia .