Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a mild - to - moderate left pneumothorax with rightward mediastinal shift more apparent than on portable chest radiograph at 2 :26 p .m . The small right pneumothorax is stable . There is also a moderate left pleural effusion . Bilateral pigtail catheters are in place . The heart size remains normal . There is no focal consolidation .
    OUTPUT:
    
1 . New mild - to - moderate left pneumothorax with mild rightward shift of the mediastinum . 2 . Stable right pneumothorax . 3 . Moderate left pleural effusion . The case was discussed by Dr . ___ with Dr . ___ .