Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right IJ catheter terminates within the mid right atrium . There is a new a moderate right pneumothorax with leftward shift of the mediastinum . A nasogastric tube terminates within the stomach . A small left pleural effusion is unchanged .
    OUTPUT:
    
New moderate right pneumothorax with leftward shift of the mediastinum . A small left pleural effusion is unchanged .