Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph was provided . There are three right chest tubes in place . However , despite the presence of these chest tubes , there is a moderate right pneumothorax with significant collapse of the right upper lobe . Extensive right chest wall and right neck subcutaneous emphysema is noted , increased from prior exam . There is no shift of midline to the left . The left lung is clear .
    OUTPUT:
    
Moderate right pneumothorax despite the presence of three right chest tubes . Increasing right chest wall emphysema . Finding was discussed with the patient 's nurse at the time of this dictation .