Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP supine view of the chest was reviewed . An endotracheal tube ends 4 cm above the carina . Left - sided Port - A - Cath ends in the lower superior vena cava . An upper enteric tube passes into the stomach and off the radiograph . Right upper lung and perihilar opacity representing intraparenchymal hemorrhage has improved . Lung volumes have increased and right lower lobe atelectasis has decreased . A small right pleural effusion is relatively unchanged . The previously described moderate right apical pneumothorax is now miniscule . In the right lung apex , there is a redundant fragment of unidentified wire or lead that has been present on several prior studies . A left pectoral biventricular pacer and defibrillator has pacer leads ending in the right atrium and left ventricle and a defibrillator lead ends in the right ventricle . Bilateral subcutaneous emphysema is unchanged . A left clavicular fracture is again noted .
    OUTPUT:
    
1 . Small right pleural effusion and minimal right apical pneumothorax . Possible upright films would better evaluate the extent of the pleural efufsion and pneumothorax . 2 . Improvement right lung opacities indicates improvement in right parenchymal hemorrhage and lower lobe atelectasis .