Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sternal wires and aortic valve replacement are again seen . New since the prior study is a moderate left apicalpneumothorax with a small left pleural effusion . Additionally , there is a displaced mid clavicular fracture . Given the trauma , the pleural effusion is concerning for a hemothorax .
    OUTPUT:
    
Displaced left mid clavicle fracture and moderate left hemopneumothorax .