Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right basilar chest tube remains projecting over the right basilar hemi thorax . Extensive subcutaneous gas appear slightly increased from the prior study , located within the right lateral chest wall , the neck bilaterally , as well as tracking along the pectoralis muscles bilaterally . No pneumothorax is visualized . Lungs are hyperinflated with marked emphysematous changes again seen in the upper lobes . Patchy opacities in the lung bases may reflect atelectasis . Cardiac , mediastinal and hilar contours are similar . Remote fracture of the right mid clavicle is re - demonstrated .
    OUTPUT:
    
Right basilar chest tube in similar position without recurrent pneumothorax . Extensive subcutaneous emphysema appears slightly increased in the interval .