Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A moderate right hydropneumothorax with a small amount of layering fluid component is new since ___ , and causes widening of the ipsilaterrib spaces and mild left mediastinal shift . A combination of multifocal nodules and peribronchial infiltration , predominantly in the right lower lung is unchanged and is better evaluated on recent chest CT . Heart size is normal . The mediastinal and hilar contours appear normal .
    OUTPUT:
    
Interval development of moderate right hydropneumothorax , should be evaluated for any clinical evidence of tension physiology . A preliminary report was given via telephone by Dr . ___ to Dr . ___ ___ at 8 :28 p .m . on ___ five minutes after discovery of the findings and read : " New moderate right hydropneumothorax . Positive signs of tension pneumothorax , including splaying of ipsilateral ribs and mild leftward mediastinal shift as compared to recent prior . "