Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is severe rightward mediastinal shift with elevation of the left hemidiaphragm . No pneumothorax is detected on this single view . Opacification at the right lung base appears mass like . There is opacification of the left lung apex with an appearance suggestive of atelectasis , although incompletely evaluated on this study . Hardware projects over the epigastric region . Dilated loops of bowel are partially imaged .
    OUTPUT:
    
Severe rightward mediastinal shift with elevation of the left hemidiaphragm and left apical volume loss . Density at the right lung base of indeterminate etiology . Further evaluation is recommended with CT if clinically feasible . Findings reported by ___ to Dr . ___ in person at 11 :00 a .m . on ___ at the time of discovery of these findings .