Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a left - sided chest tube . The moderate left pneumothorax and mild rightward mediastinal shift are unchanged in size from prior exam along with depression of the left hemidiaphragm suggesting a component of tension . Large cavitary lesion in left lower lobe as well as complex cavitary disease in the left upper lobe with adjacent pleural thickening have been more fully characterized by a recent CT . There is no pleural effusion .
    OUTPUT:
    
Interval placement of left - sided chest tube with persistent moderate left pneumothorax with likely component of tension .