Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ETT terminates 4 cm above the carina . There is a right - sided chest tube , which is oriented towards the right base . There is a moderate sized right apical pneumothorax . There is elevation of the right hemidiaphragm and mediastinal shift towards the right , representing volume loss due to the patient 's upper lobectomy . The left lung is clear . Heart size is normal . The hilar contours are normal . The pulmonary vasculature is normal . No pleural effusion is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . ET tube and right - sided chest tube in appropriate positioning . 2 . Moderate sized right apical pneumothorax without evidence of tension . 3 . Volume loss with mediastinal shift to the right due to the patient 's right upper lobectomy .