Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In the interim since the most recent prior examination , there has been development of a moderate amount of air within the pleural space . There is moderate fluid within the right pleural space . There is mild inflation of the right upper lobe with a collapsed right lower lobe . There is no shift of the mediastinum . The left lung shows no focal consolidation , pleural effusion or pneumothorax . The mediastinum appear unremarkable .
    OUTPUT:
    
Moderate pneumothorax with moderate pleural effusion , inflated right upper lobe and collapsed right lower lobe . No significant shift of the mediastinum . Findings discussed with Dr . ___ at 13 :52 on ___ via telephone .