Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are moderate bilateral pneumothoraces . the pneumothorax on the right is of similar size compared to prior and the pneumothorax on the left is larger . The left - sided pneumothorax has a large medial component to it with volume loss medially . There is volume loss / infiltrate in both lower lungs . NG tube tip is off the film , at least in the stomach . Bilateral pigtail catheters are again seen .
    OUTPUT:
    
Moderate bilateral pneumothoraces with increase in size of the left - sided pneumothorax compared to prior .