Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs were obtained . Heart is normal size and cardiomediastinal contours are unchanged . Increased prominence of vascular markings likely suggests pulmonary vascular engorgement and fluid overload . Low volume lungs are clear bilaterally . No significant pleural effusions . Right apical pneumothorax is stable . Extensive subcutaneous emphysema is again noted within the right lateral chest wall and right neck . There is interval removal of the right - sided chest tube .
    OUTPUT:
    
Stable right apical pneumothorax . No significant changes compared to the prior radiograph .