Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . A moderate in size right pneumothorax is noted though there is leftward cardiomediastinal shift concerning for tension pneumothorax . Decompression is urgently advised . Left lung is clear . No pleural effusion . No fracture .
    OUTPUT:
    
Moderate right pneumothorax with leftward cardiomediastinal shift is compatible with tension pneumothorax .