Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate - sized right pneumothorax without significant tension component Streaky opacification of the right lung base most likely reflects bronchovascular crowding and associated collapse of the lung . Small bilateral pleural effusions are present on the right greater than the left . The lungs are hyperexpanded with flattening of the diaphragm compatible with COPD . The pulmonary vasculature is not engorged . Cardiac silhouette is normal in size . The mediastinal and hilar contours are within normal limits . There are minimally displaced fractures of the ___ anterolateral , ___ posterolateral , and ___ anterolateral ribs . Multilevel degenerative changes are noted in the thoracic spine .
    OUTPUT:
    
1 . Moderate - sized right pneumothorax with no significant tension component . 2 . Minimally displaced right sided rib fractures of the ___ anterolateral , ___ posterolateral , and ___ anterolateral ribs . 3 . Small bilateral pleural effusions on the right greater than the left . 4 . Findings consistent with underlying COPD .