Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right pigtail catheter again projects over the right hemithorax . Extensive subcutaneous emphysema projects over the right chest . Nonetheless there is a moderate to large right pneumothorax . There are grossly unchanged bilateral pleural effusions with adjacent atelectasis given differences in technique . The size of the cardiac silhouette is within normal limits .
    OUTPUT:
    
Moderate to large right pneumothorax , increased from prior . A right pigtail catheter is present . Increasing subcutaneous emphysema over the right chest . Findings were communicated to and acknowledged by ___ , MD at ___h___ PM via telephone , ___ minutes after discovery of findings by ___ , MD .