Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate a moderate - sized right apical and basilar pneumothorax without evidence shift of the cardimediastinum . There is a small right - sided pleural effusion . The left lung is clear .
    OUTPUT:
    
Moderate - sized right apical and basilar pneumothorax with small persistent right - sided pleural effusion .