Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The important change as compared to the previous image is the occurrence of a large pneumothorax on the left , with depression of the left hemidiaphragm has a sign of thickening tension . No change in appearance of the right lung . The patient is now intubated , the tube is located to high , projecting in the neck , approximately 13 cm above the carinal . The tube needs to be advanced by at least 8 cm .
    OUTPUT:
    
New left pneumothorax with thickening tension .