Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is an extensive right pneumothorax with significant collapse of the right lung . There is associated developing tension with contralateral mediastinal shift . A moderate right pleural effusion is present . The left lung is clear . The heart size is normal . The bones are intact .
    OUTPUT:
    
Large right hydropneumothorax with near - complete collapse of the right lung and associated developing tension . These findings were discussed with Dr . ___ by Dr . ___ ___ telephone at 4 :20 p .m . immediately after discovery of findings .