Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval removal of right pigtail catheter . Moderate right pneumothorax , has increased in size , with 5 .2 cm apical component , and basilar component . There is trace right pleural effusion , similar . Right basilar opacity , likely atelectasis . Subcutaneous emphysema right lower lateral chest wall has worsened . Left lung is clear . Thoracolumbar curve . Normal heart size pulmonary vascularity .
    OUTPUT:
    
Moderate right pneumothorax has increased since prior exam .