Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with earlier the same day , I doubt gross change Again seen are fractures of the right first and second ribs and ? Right fifth rib . These findings are better delineated on a CT from ___ . There is a relative paucity of lung markings at the right lung apex and , although no demarcating lung edge is identified , the possibility of a subtle pneumothorax in this area can not be excluded . There is also obscuration of a portion of the right lung apex by the patient 's tracheostomy mask . Similarly , at the right lung base , there is a relative paucity of lung markings , but no well demarcated pneumothorax is identified . There is , however , some lucency along the medial border of the right lung , at its interface with the right mediastinum , similar to the most recent prior film , that likely represents a small portion of the pneumothorax . A tiny pneumomediastinum in this area is considered less likely . Minimal bibasilar atelectasis again noted . Again seen is a left PICC line , with tip over distal SVC . Tracheostomy tube , G - tube , and spinal fixation hardware again noted .
    OUTPUT:
    
Subtle findings suggestive of small residual pneumothorax , detailed above .