Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine AP chest radiograph shows 2 left had - sided thoracic catheters projected over the left upper to mid lung with pleural fluid seen at the periphery of the left hemi thorax with appearance suggesting a hydro pneumothorax . Some subcutaneous air is seen on the left inferior and lateral to the chest tubes . Air density also parallels the cardiac silhouette on the right suggesting pneumopericardium .
    OUTPUT:
    
Left - sided hydro-pneumothorax in a patient with 2 current indwelling tubes and associated subcutaneous air . Air paralleling pericardial moderate right suggests pneumopericardium .