Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again , there is extensive subcutaneous emphysema in the right hemithorax . A small apical pneumothorax again not significantly changed since the prior study . The remainder of the lungs remains clear . Rib fractures on the right are stable . Cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
Continued right apical pneumothorax not substantially changed since the removal of the chest tube .