Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to chest radiograph from earlier today , left - sided pleural drain remain in similar position . Left hydro pneumothorax appears more conspicuous . Air fluid level in the left hemithorax is due to fluid along the major fissure and pneumthorax . Left lower lobe substantial opacities are unchanged . Small right - sided effusion has shifted due to upright chest radiograph and persistent right lower lobe consolidation .
    OUTPUT:
    
Moderate left hydro pneumothorax with air fluid due to fluid along major fissure . Multifocal basilar opacities and effusions have not substantially changed given for differences in positioning .