Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple left - sided rib fractures as well as a displaced left clavicular fracture are again noted . No discrete pneumothorax is visualized however there is fluid noted over the left lung apex which may reflect a hydropneumothorax . No focal consolidation . The right lung is clear . The size the cardiac silhouette is within normal limits .
    OUTPUT:
    
Trace left apical possible hydropneumothorax . No focal consolidation .