Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left PICC terminating at the cavoatrial junction and an endotracheal tube terminating 5 .4 cm above the carina are unchanged in position . A right pigtail thoracostomy tube is again demonstrated . Small bilateral pleural effusions and widespread bilateral pulmonary opacities are minimally changed since ___ . Again seen is extensive subcutaneous emphysema overlying the neck and upper thorax .
    OUTPUT:
    
No change in widespread bilateral pulmonary opacities , small bilateral pleural effusions , and extensive subcutaneous emphysema .