FINDINGS:
Again seen is the right upper lobe atelectasis or collapse from the
 central tumor.  The left PleurX catheter has been placed and there is
 decreased left pleural effusion.  There is a new left moderate pneumothorax
 seen at the apex as well as along the left lung border.     Left mid lung mass
 is again seen.

IMPRESSION:
New moderate left pneumothorax.
 
 These findings were discussed with Dr.  at 2:46 p.m. on  by telephone.