Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Given patient positioning and difference in phase of respiratory cycle , there is no significant change compared to prior examination with redemonstration of moderate bilateral pneumothoraces with biapical chest tubes in place . The left apical chest tube appears in satisfactory position in the left apex ; however , the tip of the right chest tube is in questionable position appearing to overlay the soft tissues . Extensive pneumopericardium , pneumomediastinum , pneumoperitoneum and subcutaneous emphysema leading to the cervical soft tissues are all unchanged from prior study . The cardiac silhouette remains mildly enlarged . The lungs are essentially clear without focal consolidation . There is no definite pleural effusion . An NG tube is in place in proper position .
    OUTPUT:
    
No significant change compared to prior examination with persistent bilateral pneumothoraces , pneumopericardium , pneumoperitoneum , pneumomediastinum and subcutaneous emphysema . The right chest tube remains in questionable position with the tip projecting over the soft tissues . A wet read was entered into the system by Dr . ___ ___ on ___ at 3 : 45 a .m . , who also discussed these results with Dr . ___ ___ the telephone on ___ at 3 :35 a .m .