Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Upright portable chest . There is a moderate - sized pneumothorax , predominantly in the right lower thoracic cavity . There is some pleural air at the apex as well . There is an air - fluid level indicative of hydropneumothorax . Multiple rounded opacities are consistent with metastases . There is focal consolidation with air bronchograms in the right upper lobe , consistent with the patient 's history of post-obstructive pneumonia . There is a small pleural effusion on the left . A left approach Port - A - Cath terminates at the cavoatrial junction . An abdominal drain can be partially seen in the lower aspect of the image .
    OUTPUT:
    
1 . Moderate - sized pneumothorax , predominantly in the lower aspect of the right hemithorax . 2 . Bilateral pleural effusions . 3 . Persistent right upper lobe pneumonia .