Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again noted is a right - sided chest tube . Small - to - moderate size pneumothorax is grossly stable compared to the prior exam . There is no evidence of tension physiology . Subcutaneous emphysema is again noted on the right side ; however , improved compared to the prior exam . There is no pleural effusion or pneumothorax along the left hemithorax . The heart size is stable . Redemonstration of right mid clavicular fractures as well as multiple right - sided rib fractures is again noted .
    OUTPUT:
    
Unchanged small - to - moderate right - sided pneumothorax in the setting of a right - sided chest tube .