Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the study from 4 hr earlier the right pneumothorax is slightly increased and is now moderate in size . There are compressive changes / infiltrate / hemorrhage in the right lower lobe . Subcutaneous emphysema slightly increased on the right . There are compressive changes at the left base versus an early infiltrate
    OUTPUT:
    
Increased right pneumothorax status post chest tube to water seal