Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single upright portable chest radiograph demonstrates unremarkable mediastinal , hilar and cardiac contours . However , subcutaneous emphhysema identified in the soft tissues of the neck and bilateral supraclaviaular region . Linear lucency tracking along the trachea concerning for pneumomediastinum . There is a stable left PICC line with tip at the cavoatrial junction . There is suggestion of a pleural fold approximately 4 .5 cm from the apex with a paucity of lung markings in this region which may suggest a moderate - sized pneumothorax not evident on the prior study ; however , there appears to be no evidence of the expected associated volume loss . Small rounded radiopaque density is noted projecting in the right mid lung and crossing a different bony structure than on prior study , indicating it is not within the bone and may represent a calcified granuloma . No pleural effusion evident . No osseous abnormality identified .
    OUTPUT:
    
Subcutaneous emphysema at thoracic inlet . Upper pneumomediastinum . Possible moderate right pneumothorax . Recommend repeat fully upright chest radiograph . ___ communicated these findings to Dr ___ via telephone at 09 :30 on ___ .