Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . A left ICD device is seen with its tip in the right ventricle . A right - sided chest tube has its tip in the medial right mid hemithorax . Subcutaneous emphysema mostly on the right including the right pectoralis muscle as well as the right and left side of the neck is unchanged . Small right apical pneumothorax is unchanged . Tiny pleural effusions are unchanged . No consolidation . The cardiac , mediastinal , and hilar contours are normal .
    OUTPUT:
    
1 . Unchanged right apical pneumothorax with chest tube in place . 2 . Unchanged subcutaneous emphysema .