Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a left hydro-pneumothorax with partial collapse of the left lung . Further collapse or re-expansion of the left lung is prevented by chronic lung disease . Notably , in the mid-upper right lung , there is a dense , wedge - shaped opacity extending to the pleura , concerning for a pulmonary infarct . No right pneumothorax is present . The thoracic aorta is calcified and tortuous . Multiple calcifications of the costal cartilage , particularly on the left , is present .
    OUTPUT:
    
1 . Significant left hydro-pneumothorax with partial collapse of the left lung , without mediastinal shift . Chronic lung disease is likely preventing re-expansion of the lung . Left - sided chest tube placement is recommended . 2 . Wedge - shaped opacity extending to the pleura in the right upper / mid lung , concerning for pulmonary infarction .