Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As oppose to earlier film , there is a right apical hyperlucent zone . Despite the fact that no pleural line is seen , a pneumothorax must be suspected . Right pleural effusion has decreased . There is increased opacification of the left lower lung likely related to a combination of pleural effusion and atelectasis . Right PICC line terminates in the upper SVC .
    OUTPUT:
    
Right apical hyperlucent zone with no definite pleural line , concerning for a new pneumothorax . Recommend followup upright chest radiographs within ___ hours . These findings were discussed with Dr . ___ by Dr . ___ via telephone on ___ at 3 : 13 p .m . , at the time of discovery .