Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left apical pneumothorax is seen between the ___ and 4th rib and is larger than on the prior study . Air is also seen in the anterior pleural space on the lateral view . Additionally , there is a retrocardiac opacity most consistent with low lung volumes and poor inspiration . The cardiomediastinal silhouette and hilar contours are largely unchanged . There is no evidence of effusion .
    OUTPUT:
    
1 . Left apical pneumothorax is larger than on the prior study . 2 . Left lower lobe opacity most likely due to suboptimal inspiration . These findings were communicated to Dr . ___ by telephone at 3 : 24 on ___ , 20 minutes after discovery by Dr . ___ .