Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral pigtail catheters are again seen projecting over the lower lobes . There continues to be moderate left - sided pneumothorax which is now visualized inferiorly superiorly and medially . This is larger compared to the prior day . There is a small right effusion which is minimally larger compared to the prior day . The Port - A - Cath is unchanged . There continues to be diffuse bilateral nodular opacities
    OUTPUT:
    
increase in left pneumothorax which is now moderate in size