Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The 2 left - sided chest tubes are unchanged . There is a small left lateral pneumothorax that is more apparent on the current study than on the prior . There is volume loss in both lower lungs with obscuration of the left hemidiaphragm that is increased compared to prior . The right - sided PICC line with tip at the cavoatrial junction is unchanged
    OUTPUT:
    
Increased size / conspicuity of small left pneumothorax .