Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy . Cardiac size is normal . On the right , ___ apically oriented chest tube is in unchanged position since the prior study . There is ___ extensive amount of subcutaneous emphysema , which is also similar in extent to the prior study . There is now ___ extensive right hydropneumothorax several air - fluid levels are present in the inferior right hemithorax . Interval increase in right base opacity is seen , could be from atelectasis and effusion , but underlying infection not excluded . Note is made of a prior left upper lobe resection ; otherwise , the left lung is essentially clear aside from minimal basilar atelectasis .
    OUTPUT:
    
Moderate - to - large right basilar hydropneumothorax with fluid components increasing since the prior study . Interval increase in right base opacity is seen , could be from atelectasis and effusion , but underlying infection not excluded . Unchanged diffuse subcutaneous emphysema and apically oriented right - sided chest tube .