Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Overall , there is very little interval change in comparison to the prior study from the day before . Endotracheal tube appears in place in the mid trachea . Chest tube appears in place on the right impinging on the mediastinum . Enteric tube traverses to the stomach . Again noted is massive air collection in the soft tissues causing multiple horizontal lines which overly the entire thorax and any potential pneumothorax would be very difficult to diagnose . Within these limitations , there is no evidence of a definite persisting right pneumothorax . The previously noted pneumomediastinum has continued to decrease from ___ . There is no change in appearance of the lung parenchyma or the hemidiaphragms . Multiple bilateral rib fractures are again noted .
    OUTPUT:
    
Little change in comparison to prior study with stable supporting structures and subcutaneous air . Evaluation for the right pneumothorax is limited but no definite pneumothorax is identified . The known pneumomediastinum has continued to decrease .