Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Overlying trauma board slightly limits assessment . Endotracheal tube tip terminates approximately 7 .5 cm from the carina . An orogastric tube tip courses into the stomach , below the diaphragm , and off the inferior borders of the film . New lucency is demonstrated within the medial aspect of the right lung base , with a deep sulcus sign on the right indicative of a right - sided pneumothorax . A right - sided chest tube is demonstrated , with tip terminating in the region of the medial right lung base . Small amount subcutaneous emphysema within the right lateral chest wall is also new . Heart size appears to be moderately enlarged . Superior mediastinal widening may be due to supine positioning and poor inspiratory lung volumes . Diffuse bilateral airspace opacities are present may reflect severe pulmonary edema , but areas of hemorrhage , infection , or aspiration can not be excluded . The left costophrenic angle is not included in the field of view . No mediastinal shift is clearly evident on this study . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . New right - sided pneumothorax status post right basilar chest tube placement . 2 . Extensive diffuse bilateral airspace opacities , unchanged . This may reflect severe pulmonary edema , hemorrhage , aspiration , and / or infection . 3 . Superior mediastinal widening may be due to supine positioning and low lung volumes . This could be further assessed with CT with contrast if there is concern for vascular injury .