Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy is in place with the tracheostomy tip appropriately positioned . A right - sided PICC terminates in the mid SVC . Widespread parenchymal opacities in both lungs , right greater than left , are not significantly changed . There is a right apical pneumothorax .
    OUTPUT:
    
Widespread , bilateral parenchymal opacities not significantly changed . Small right apical pneumothorax .