Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP upright portable view of the chest was obtained . There is a moderate - to - large left pneumothorax without definite tension . Left basilar opacities may be due to atelectasis / collapsed lung , although underlying consolidation due to pulmonary hemorrhage is not excluded in this clinical context . Right lung demonstrates low lung volumes without focal consolidation . No large pleural effusion is seen . The cardiac and mediastinal silhouettes are unremarkable . No displaced fracture is identified .
    OUTPUT:
    
Moderate - to - large left pneumothorax without definite signs of tension . The emergency department is aware at 4 p .m . on ___ including Dr . ___ .