Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate right apical pneumothorax . A moderate to large right pleural effusion is similar in size to the ___ radiographs . The left lung is clear . The cardiac and mediastinal contours are stable . There is a right shoulder prosthesis .
    OUTPUT:
    
Moderate right apical pneumothorax and moderate to large right pleural effusion .