Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest demonstrates similar extent of subcutaneous emphysema in the right chest wall . There has been interval removal of one of the two indwelling right chest tubes . A left - sided chest tube remains similar in location . The heart is enlarged , but unchanged . Perihilar vascular congestion and pulmonary edema appears similar as compared to prior exam . There is no discernable pneumothorax . There is persistent lucency projecting over medial left hilus , which upon correlation with prior CT dated ___ likely represents posterior medial pleural air collection . The lung bases demonstrate ill - defined opacities which could represent residual post-traumatic contusions . There are bilateral pleural effusions with compressive atelectasis . There is also marked distention of the azygos contour , in keeping with increased volume status . The ET tube is stable and in appropriate position . An enteric tube traverses inferiorly out of view . A right central venous catheter is unchanged in location . Multiple bilateral rib fractures , better discerned on prior CT .
    OUTPUT:
    
No relevant change . Interval removal of one of the right chest tubes .