Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided chest tube is in unchanged position . A moderate right - sided pneumothorax is unchanged in size , but there is new extensive subcutaneous emphysema throughout the right chest wall . The nodular opacity which was seen previously at the right lung apex is not as well visualized ; however , there is progression of pulmonary vascular congestion and diffuse opacity throughout the partially atelectatic right lung which may partially obscure the margins . Left basilar atelectasis is unchanged with no left - sided pleural effusion . Osseous structures appear unchanged . Multiple calcified granulomas are again seen throughout the left lung .
    OUTPUT:
    
Stable size of a moderate right - sided pneumothorax , but new extensive subcutaneous emphysema in the right chest wall . Progression of pulmonary vascular congestion . Stable bibasilar atelectasis . Findings discussed with ___ at 10 :01 a .m . on ___ via telephone after discovery at 9 :55 AM .