Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Adjusting for changes in position , the cardiomediastinal silhouette is unchanged . Right chest tube is seen with associated small right apical pneumothorax . Smaller lung volumes , the upper lungs are clear . Cardiomediastinal silhouette appears unchanged . . Severe generalized intestinal distention persists .
    OUTPUT:
    
Small right pneumothorax .