Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There appears to be a slight interval increase in displacement of the posterior right fifth rib fracture compared to the prior exam . Again seen are multiple right - sided rib fractures . There appears to be slight interval worsening of the right apical pneumothorax compared to prior exam . There is stable extensive subcutaneous gas along the right side from the mid abdomen to the mid neck , overall unchanged compared to prior exam . There is stable mild cardiomegaly . Note is made of stable bibasilar atelectasis . Small left pleural effusion is stable .
    OUTPUT:
    
Apparent interval increase in the right - sided apical pneumothorax and displacement of the posterior right fifth rib fracture compared to the prior exam , could be accounted for by differences in technique . These findings were discussed with Dr . ___ by Dr . ___ by telephone at 10 :20 a .m . on the day of the exam .