Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube again terminates in the mid-trachea . Diffuse pneumomediastinum outlines the esophageal wall . Superior extension through the thoracic inlet to involve the soft tissues of the neck and pectoral muscles bilaterally . Inferiorly , there is dissection of air into the stomach , outlining the gastric rugae and duodenal bulb . Lung volumes are low , with right middle / lower lobe collapse . No large pneumothorax . Heart size is normal . Severe S - shaped thoracolumbar scoliosis .
    OUTPUT:
    
1 . Presumed esophageal rupture , with diffuse pneumomediastinum tracking into the neck and upper abdomen . 2 . Right middle / lower lobe collapse .