Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is unremarkable . Again noted is a right hydropneumothorax and persistent loculated fluid in the right apex . The right hemithorax otherwise appears similar to most recent study . There is progressive subcutaneous emphysema on the right . Otherwise stable examination of the chest .
    OUTPUT:
    
Persistent right - sided hydropneumothorax with worsening right - sided subcutaneous emphysema .