Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest has been obtained with patient in sitting semi-upright position . A very high positioned diaphragms is present in this patient with evidence of massive ascites . Heart size can not be determined as contours are concealed . On the right side , the lateral pleural sinus is free , but there is a diffuse haze on the left base consistent with some pleural effusion probably layering posteriorly in the semi-upright positioned patient . Both lungs are aerated and there is no evidence of any apical pneumothorax .
    OUTPUT:
    
Evidence of some pleural effusion in the left base . Quantitation is impossible on this single view portable chest examination in a patient with high standing diaphragms . No pneumothorax can be identified . Multiple left - sided traumatic rib fractures can not be identified on this portable chest examination .