Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest radiograph demonstrates a stable right pneumothorax . There are several radiodense lesions along the left hemithorax that may represent skin folds . There is no definite left pneumothorax . There is opacification of the left thorax consistent with a moderate left pleural effusion . There is also new engorgement of the pulmonary vasculature in the left lung . There is slight shift of the mediastinum to the right . Bilateral pigtail drains are noted at the costophrenic angles . The heart size is within normal limits .
    OUTPUT:
    
1 . New left pleural effusion and slight mediastinal shift . Recommend obtaining PA expiratory films to exclude a left pneumothorax . 2 . Stable right pneumothorax . Findings were discussed by Dr . ___ with Dr . ___ .