Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left basilar pigtail the chest tube remains in place with a large pneumothorax , increased from prior . Pneumoperitoneum is somewhat decreased . Diffuse severe chronic lung changes are similar to prior with bilateral areas of opacity . Left PICC is unchanged in position .
    OUTPUT:
    
Persistent left basilar pneumothorax , likely increased from prior . Otherwise , no significant interval change .