Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal chest radiograph demonstrates right - sided chest tube with interval worsening of predominantly apical pneumothorax , now small to moderate in size . Asymmetrically increased left lower lung opacification . No pleural effusion evident . Remainder of the examination is unchanged .
    OUTPUT:
    
Worsening right pneumothorax . Faint left lower opacification . ___ discussed with Dr . ___ about these findings at 5 :30 a .m . , ___ at the time of discovery .