Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest ( read in conjunction with CT chest from ___ ) . Pneumomediastinum is again demonstrated and appears to have slightly progressed . There is slightly more air within the upper mediastinum , subcutaneous soft tissues of the neck bilaterally and axilla . Pneumomediastinum is also tracking into extrapleural space . Tiny biapical pneumothoraces are not significantly changed . There is no focal consolidation or pleural effusion . Heart size is normal .
    OUTPUT:
    
Slight increase in pneumomediastinum and air within the subcutaneous tissues of the neck and axilla bilaterally . Pneumomediastinum is also tracking into extrapleural space . Tiny biapical pneumothoraces are unchanged .