Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest film ___ at 22 :48 is submitted .
    OUTPUT:
    
Overall cardiac and mediastinal contours are unchanged . There continues to be perihilar opacity with some improvement in aeration in the right upper and lower lung suggestive of radiation fibrosis making superimposed infection less likely . Two right basilar chest tubes remain in place . There is a small right apical pneumothorax . Subcutaneous emphysema in the right lateral chest wall is again seen . No pulmonary edema . No large effusions . Hardware overlying the mid to lower cervical spine .