Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left apical pneumothorax is again demonstrated . Left hemidiaphragm appears slightly more depressed compared to 13 hr prior , suggestive of increased tension in the left hemithorax . There is no consolidation or pleural effusion . Cardiomediastinal and hilar silhouettes are normal size . Platelike atelectasis is noted at the left lower lung . Left pectoral infusion port terminates in mid SVC .
    OUTPUT:
    
Small left apical pneumothorax . Increased depression of left hemidiaphragm suggestive of increased tension .