Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been significant interval increase in the right apical pneumothorax , now moderate to large . There is associated increased density in the right lung , likely attributable to progressive collapse . There is no definite air - fluid level . The right chest tube is in grossly unchanged position , deviated medially slightly by the collapsed lung . A trace left pleural effusion is unchanged , the left lung is otherwise clear . Allowing for rotation there is likely minimal rightward mediastinal shift . Right chest wall subcutaneous emphysema is unchanged . A Dobhoff tube terminates within the stomach .
    OUTPUT:
    
Interval increase in the right apical pneumothorax , now moderate to large with associated progressed right lung collapse .