Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Extensive subcutaneous emphysema is seen throughout the chest wall bilaterally and extending into the neck and abdominal wall bilaterally . Right - sided chest tube is noted with tip terminating near the right lung base . The heart size is normal . The aorta is tortuous . Pneumomediastinum is noted . Hilar contours are unremarkable . No shift of mediastinal structures is noted . There is no pulmonary vascular congestion . Assessment of the lung parenchyma is limited due to the extensive subcutaneous emphysema . There is a suggestion of a right basilar patchy opacity peripherally , which is nonspecific . Small right apical pneumothorax is likely present . Assessment for left - sided pneumothorax is limited , though a small left apical pneumothorax may be present . Displaced right ___ posterior rib fracture is noted .
    OUTPUT:
    
Extensive subcutaneous emphysema throughout the chest and neck . Pneumomediastinum with likely small right pneumothorax . A left apical pneumothorax may be present , though assessment is limited . Patchy opacity in the right lung base is non-specific , possibly an area of contusion . Displaced right 7th rib fracture .