Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph ___ at 07 :35 is submitted .
    OUTPUT:
    
There is some overlying motion artifact which limits the examination . A right basilar chest tube remains in place . There is air within the right lateral chest wall and neck soft tissues consistent with subcutaneous emphysema . Rounded lucency at the right apex likely represents a small pneumothorax . There is bilateral parenchymal distortion with fibrotic changes at the bases consistent with fibrotic lung disease . Multiple small nodular opacities with associated right apical pleural thickening are again seen and may reflect prior granulomatous infection . Clinical correlation is advised . Overall cardiac and mediastinal contours are stable .