Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable frontal radiograph demonstrates low lung volumes with near complete opacification of the lower right hemithorax concerning for pleural effusion . The right hemidiaphragm is elevated concerning for possible diaphragmatic injury . There is a small left probable pleural effusion . Multiple lateral right rib fractures are identified . A right jugular sheath is seen terminating at the level of the upper margin of the clavicle . No definite pneumothorax is identified .
    OUTPUT:
    
With new complete opacification on the right lower hemi thorax with elevated diaphragm concerning for large pleural effusion and diaphragmatic injury . These findings were communicated to the house staff upon review by Dr . ___ ___ telephone at 9 : 26 on ___ .