Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a right apical chest tube . Previously noted small right apical pneumothorax is not clearly visualized on the current radiograph . There is persistent pneumomediastinum and extensive amount of subcutaneous emphysema within the chest wall bilaterally extending into the neck . Curvilinear lucency in the right upper quadrant of the abdomen is compatible with retroperitoneal subcutaneous emphysema , as seen on the previous CT . The cardiac and mediastinal contours are unchanged . Pulmonary vasculature is not engorged . Lungs remain hyperinflated . Minimal patchy right basilar opacity likely reflects a small contusion . Right posterior tenth rib fracture is re - demonstrated .
    OUTPUT:
    
Interval placement of right apical chest tube with previously noted tiny right apical pneumothorax not visualized on the current radiograph . Persistent , extensive amounts of pneumomediastinum and subcutaneous emphysema .