Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single upright portable frontal image of the chest . Extensive subcutaneous emphysema is again noted . Pneumomediastinum is similar to prior exam . There has been interval decrease in the right apical pneumothorax . An opacity is again seen in the middle lobe area , likely related to known right middle lobe collapse . The lungs are otherwise clear . No large pleural effusion is seen . The cardiomediastinal silhouette is unchanged from prior exam .
    OUTPUT:
    
1 . Interval decrease in right apical pneumothorax . 2 . Extensive subcutaneous emphysema and pneumomediastinum , similar to prior exam . These findings were communicated to the patient 's team at 2 :08 a .m . on ___ by phone .