Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A moderate right pneumothorax is obscured by heavy subcutaneous emphysema in the right chest wall extending into the neck and axilla ; the mediastinum is not shifted , despite presumed postive pressure ventilation from an endotracheal tube ending 2 cm above the carina . An esophageal tube ends at the gastroesophageal junction and would need to be advanced at least 12cm to move all the sideports into the stomach that is currently massively distended with air , quite likely interfering with expansion of the chest . Both lungs are densely consolidated , the right lung diffusely and the left predominantly at the base ; contributions from atelectasis , aspiration , edemas , and even hemorrhage , can not be assigne . Cardiomegaly is mild to moderate . The mediastinum is not appreciably widened . Pleural effusions are presumed , but not appreciable .
    OUTPUT:
    
1 . Moderate right pneumothorax , explains subcutaneous emphysema . Has there been an attempted central line placement ? Mediastinum is neither shifted nor widened . 2 . Endotracheal tube in appropriate position . Esophageal tube should be advanced to decompress severely distended stomach . These findings which vary considerably from those of the original dictation by Dr ___ at 1 : 25 am , transcribed at 2 : 22 am , were discussed at length by Drs . ___ ___ ___ between 8 and ___am .