Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a large left hydropneumothorax with near - complete collapse of the left lung . The mediastinum is midline without any evidence of tension . The right lung is clear .
    OUTPUT:
    
Large left hydropneumothorax with near - complete left lung collapse and large effusion . Findings were communicated immediately after identification with Dr . ___ via telephone at 2 :50 p .m . , at which time the finding had been identified by the ED and a chest tube was placed .