Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP image of the chest . The chest tube is seen in the right mid chest . The lungs are well expanded . There is more vascular congestion and pulmonary edema than on prior exam , consistent with the patient being in early heart failure . Opacity at the right lung base likely represents atelectasis . There has been interval increase in the right pneumothorax since most recent exam , however this pneumothorax is still much smaller than that seen on the exam prior to the most recent exam . There is no pleural effusion . The cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
1 . Interval increase in right - sided pneumothorax . 2 . Increased vascular congestion and pulmonary edema , consistent with early heart failure . Findings regarding the pneumothorax were communicated to Dr . ___ at 2 : 10 a .m . on ___ by phone . All findings were communicated to Dr . ___ at 9 :02 a .m . on ___ by phone .