Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A moderate to large right sided hydro pneumothorax is seen . There is associated contralateral shift of the mediastinum suggesting tension pneumothorax . The left lung is clear . Stable right - sided Port - A - Cath with the tip in the lower SVC .
    OUTPUT:
    
New moderate to large right sided hydro pneumothorax with signs of tension . Pneumothoraces can be seen in the setting of sarcoma metastatic disease .