Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post right thoracotomy and right upper lobe lobectomy . Two chest tubes project over the right hemithorax . An endotracheal tube projects over the mid thoracic trachea . An epidural catheter is present . Postsurgical changes in the right lung including volume loss as well as a small hydro pneumothorax . Subcutaneous emphysema over the right chest wall and neck . The left lung is clear . Chain sutures are again noted over the left lung apex . The size the cardiac silhouette is within normal limits .
    OUTPUT:
    
Postsurgical changes involving the right hemithorax as described above .