Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There continues to be a moderate right pneumothorax . The pigtail catheter subcutaneous emphysema are unchanged . Lung volumes are low . With near complete collapse of right lower lobe . Is also volume loss / infiltrate in the left lower lobe .
    OUTPUT:
    
Compared to the prior study . The lower lobe volume loss is much worse . An early infiltrate in this region ca n't be excluded . There is a persistent right - sided pneumothorax .