Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were provided . There is a right pneumothorax which is moderate in size with associated partial collapse of the right lower lobe . No signs of tension . No large effusion . A large hiatal hernia is noted . Left lung is clear . There is background severe emphysema . Cardiomediastinal silhouette is mildly prominent .
    OUTPUT:
    
1 . Moderate right pneumothorax with partial collapse of the right lower lobe . No signs of tension . Recommend chest tube placement . 2 . Large hiatal hernia . 3 . Severe emphysema .