Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube is in standard position . An enteric tube courses below the left hemidiaphragm with tip off the inferior borders of the film . Right internal jugular central venous catheter tip appears slightly withdrawn , terminating in the upper SVC . New extensive subcutaneous emphysema is seen throughout the chest wall and neck . Cardiac and mediastinal contours are unchanged . Hilar contours are similar . There is again likely small bilateral pleural effusions with bibasilar airspace opacities . Assessment for pneumothorax is limited on this supine exam . There appear to be new fractures of the right fourth and fifth ribs anteriorly .
    OUTPUT:
    
1 . New extensive subcutaneous emphysema within the neck and chest . New right fourth and fifth rib fractures anteriorly . 2 . Enteric and endotracheal tubes in standard positions . Right internal jugular central venous catheter tip has been slightly withdrawn , with tip now in the upper SVC . 3 . Continued layering bilateral pleural effusions and bibasilar airspace opacities .