Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP view of the chest . A Swan - Ganz catheter ends in the main pulmonary artery . There are two mediastinal drains and one right - sided pleural drain seen . The endotracheal tube is in appropriate position . An enteric tube ends in the stomach . There is a moderate - to - large left pneumothorax . No significant mediastinal shift . Heart size is normal . No pleural effusion . Slight increase in pulmonary vascular congestion on the right .
    OUTPUT:
    
New moderate left pneumothorax . No evidence of mediastinal shift . These findings were discussed with ___ by Dr . ___ at 3 :29 p .m . on ___ by telephone .