Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest film ___ at 18 25 is submitted .
    OUTPUT:
    
Interval placement of second right basilar chest tube with appearance of subcutaneous emphysema involving the right lateral chest wall . There is still likely a small right pneumothorax , although the sensitivity to detect a pneumothorax is diminished given supine technique . Stable opacity in the right perihilar and upper lung which may reflect radiation fibrosis when correlated with recent CT dated ___ , although superimposed infection can not be excluded . Left lung is grossly clear . Overall cardiac and mediastinal contours are stable . No evidence of pulmonary edema . No large effusions . Spinal hardware overlying the mid to lower cervical spine .