Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs were obtained . A right chest tube remains in place . There is a tiny right apical pneumothorax and a small left apical pneumothorax , unchanged from prior study . Extensive subcutaneous emphysema throughout the thoracoabdominal wall and neck is again appreciated . The large pneumomediastinum and possible pneumopericardium are unchanged . Multiple , minimally displaced right rib fractures are stable . No focal consolidation , pleural effusion is seen . The heart size is normal . Mediastinal and hilar contours are normal .
    OUTPUT:
    
1 . Small left and tiny right apical pneumothoraces are unchanged . 2 . Stable appearance of extensive subcutaneous emphysema , pneumomediastinum and possible pneumopericardium . 3 . Multiple right lower rib fractures .