Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest ___ at 12 :22 are submitted .
    OUTPUT:
    
A right chest tube remains in place and there continues to be extensive right lateral chest wall and bilateral neck soft tissue subcutaneous emphysema . The right apical pneumothorax is barely appreciable on the current study . Opacity at the right base with an associated effusion and patchy opacity at the left base are likely not significantly changed . The vasculature appears slightly more prominent than on previous studies which is of uncertain significance . No overt pulmonary edema . Clinical correlation is advised .