Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube is in unchanged position with the tip 5 .6 cm from the carina . A right internal jugular catheter is in unchanged position with the tip in the low SVC . A right - sided pigtail chest tube is unchanged . Again , there is moderate subcutaneous emphysema , unchanged from the prior exam . There is a small right apical pneumothorax , also unchanged from the prior exam . There is no left pneumothorax . Opacification at the right base is stable . Small bilateral pleural effusions are stable . There is no new opacity . The cardiomediastinal silhouette is normal .
    OUTPUT:
    
No significant change from the prior exam , including an unchanged small right apical pneumothorax .