Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . There is a left pleural effusion again seen with a fluid level suggesting a hydropneumothorax . Please note , a similar finding was seen on prior CT , though the loculated gas component appears slightly increased from prior exam . There is persistent left lower lobe consolidation , which could represent atelectasis or possibly pneumonia . The right lung remains clear . Cardiomediastinal silhouette appears grossly stable . Bony structures are intact with a left humeral head replacement again noted .
    OUTPUT:
    
Left hydropneumothorax , with gas component loculated and slightly increased from prior exam . Left lower lobe consolidation could represent a combination of atelectasis and pneumonia , though clinical correlation is advised .