Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs were obtained . Exam is technically limited . Extensive subcutaneous emphysema in the chest wall and neck is again demonstrated . A left chest tube tip remains in the apex . No pneumothorax is appreciated . Pneumomediastinum and pneumopericardium are also present . The left basilar opacity is unchanged and corresponds to high attenuation signal at level of severely fractured ribs on outside CT from ___ . The cardiomediastinal silhouette and hilar contours are stable .
    OUTPUT:
    
1 . Technically limited exam . No appreciable pneumothorax . Pneumomediastinum and pneumopericardium are present . Repeat radiograph has been requested . 2 . Persistent left lower lobe opacity , likely secondary to pulmonary hemorrahge . Dr .___ ___ findings with Dr .___ at 1 : 45 pm on ___ .