Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to prior chest radiograph from earlier today , there is persistent pneumomediastinum and extensive subcutaneous emphysema of the chest wall with air dissecting along the pectoralis muscles and cervical regions bilaterally . An endotracheal tube terminates 4 .1 cm above the carina , and its cuff remains overdistended . The previously noted small right pneumothorax is not well seen on the current exam . Probable small bilateral pleural effusions . Lungs are hyperexpanded and there are diffuse areas of course interstitial and ill - defined nodular opacities bilaterally , with bronchiectasis and bronchial wall thickening which likely relate to chronic lung disease . Cardiac silhouette is unchanged .
    OUTPUT:
    
Extensive subcutaneous emphysema and pneumomediastinum . Previously noted small right pneumothorax is not well seen . Chronic interstitial lung disease with bronchiectasis and ill - defined nodular opacities suggestive of airways inflammation or infection . Small bilateral pleural effusions .