Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate amount of right apical pneumothorax is unchanged since ___ inspite of right apical and right basal chest tubes , unchanged in position . Right - sided shift of the cardiomediastinal silhouette is stable . The extent of opacification in the right lung , predominantly in the mid portion , is unchanged in severity since ___ , and differential diagnosis includes atelectasis or pneumonia or hemorrhage . There is at least mild - to - moderate pleural effusion on the right side , stable since ___ . Mild - to - moderate amount of left pleural effusion and left lung base atelectasis are similar . No opacities on the left side do suggest pneumonia .
    OUTPUT:
    
Moderate right apical pneumothorax and right mid lung opacity likely atelectasis or pneumonia or hemorrhage , mild - to - moderate bilateral pleural effusions , and left lung atelectasis are unchanged since ___ .