Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal with tortuous aorta . Hilar contours are normal . Again appreciated is a left nondependent hydropneumothorax with significantly increased fluid components , much of which appears to be loculated . There is adjacent left base atelectasis . The right lung is essentially clear . No expansile lytic bony lesions are identified . Surgical clips project over the right upper quadrant .
    OUTPUT:
    
Persistent left hydropneumothorax with substantial increase in fluid component , much of which appears to be loculated . Results were discussed over the telephone with Dr . ___ by ___ at 11 :32 a .m . on ___ at time of initial review .