Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided chest tube is noted , with the tip outside of the thoracic cage . There is some subcutaneous emphysema along the right thoracic wall . Otherwise , there is nearly complete opacification of both lungs . A moderate pneumothorax is noted in the right . Assessment of the heart could not be performed as the heart silhouette is obscured by pulmonary opacifications . Mediastinal clips and sternotomy wires are sequela of a prior cardiothoracic surgery .
    OUTPUT:
    
1 . Moderate right pneumothorax . 2 . Right - sided chest tube with the tip outside of the thoracic cage . 3 . Nearly complete opacification of both lung fields may be related to edema , inflammation , hemorrhage or a combination of these . Discussed with Dr ___ ___ after discovery by Dr ___ ___ phone on ___ at 10 :30 am .