Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval placement of a left - sided chest tube with tip in the left lung apex . A right chest tube is now seen with side port within the thorax and tip in the apex . The endotracheal tube and enteric tube are unchanged . Extremely low lung volumes . There is a right - sided contusion . There is likely pulmonary edema . There are multiple bilateral rib fractures . No definite pneumothorax . No definite pleural effusion .
    OUTPUT:
    
Interval placement of a left - sided chest tube with tip in the left lung apex and repositioning of the right chest tube with side port within the thorax . Otherwise , no significant change compared to 19 :55 .