Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is extensive subcutaneous emphysema seen in the right chest wall and tracking up into the neck . Additionally , small amount of subcutaneous emphysema is seen in the left cervical region . There is no focal consolidation , pleural effusion or pneumothorax . The cardiomediastinal silhouette is normal . An NG tube terminates within the stomach . There are multiple loops of dilated bowel , incompletely imaged on this exam . No acute skeletal abnormalities .
    OUTPUT:
    
Extensive subcutaneous emphysema in the right lateral chest as well as within the neck bilaterally . Recommend upright and lateral decubitus film for evaluation of pneumoperitoneum . These findings were discussed with ___ by Dr . ___ ___ telephone at 4 :20 p .m .