Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are both wide - bore and small - caliber pigtail catheters projecting over the left hemithorax , corresponding to pleural drainage tubes . Despite their presence , however , there is rightward shift of mediastinal structures and a lucent appearance to the lower left hemithorax suggesting the presence of a persistent pneumothorax . The patient is intubated with the endotracheal tube terminating approximately 4 cm above the carina . A orogastric tube passes into the stomach , including it s sidehole , while it s distal course is not well visualized . Medial right lower lung opacity suggests extensive atelectasis which may contribute to rightward shift of mediastinal structures , which is substantial . There is a suspected pleural effusion about the apex of the right lung or perhaps pleural thickening . A small quantity of left lateral subcutaneous emphysema is noted in conjunction with presence of chest tubes . There is no definite fracture visible on radiography .
    OUTPUT:
    
Substantial rightward shift of mediastinal structures in conjunction with widespread right basilar opacification , which is nonspecific but suggests partial collapse of the right lower lobe , in addition to a persistent left - sided pneumothorax , although two well - placed chest tubes are visualized . The referring team is aware of the findings based on review of a recent outside CT discussed in the reading room .