Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube is 7 cm above the carina and is in appropriate position . NG tube with tip in the proximal stomach . Interval increase in size of now large left pneumothorax with right - sided mediastinal shift . No subcutaneous emphysema or right pneumothorax . Prior right upper lobe collapse has improved with significant reexpansion . Heart size , mediastinal contour and hila are obscured by the pleural parenchymal process .
    OUTPUT:
    
1 . Interval increase in now large left pneumothorax with right - sided mediastinal shift concerning for signs of tension . 2 . Partial reexpansion of right upper lobe . Results were conveyed via telephone to Dr . ___ by Dr . ___ ___ on ___ at 3 :30 p .m . within five minutes of observation of findings .