Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated and dextroconvex scoliosis is severe , distorting the chest cage . The newly placed right subclavian approach central venous catheter tip projects over the expected region of the low SVC . The newly placed right chest tube tip projects over the mid right hemi thorax , but the side port projects over the ribs and is not clearly within the thoracic cavity . The ETT is in standard position . The enteric tube traverses the midline into the left upper quadrant and its tip is beyond the scope of this image . Subcutaneous emphysema along the right chest wall is extensive . Numerous displaced bilateral rib fractures are unchanged . The known right pneumothorax now appears smaller after chest tube placement with persistent small apical lateral pneumothorax . Opacification of the left lower hemithorax with silhouetting of the left hemidiaphragm , left heart border , aortic contours most likely is secondary to a moderate left pleural effusion and atelectasis ; however , contusions can not be excluded . Heart size is not well evaluated but probably the cardiac silhouette is enlarged . Aortic knob calcifications are unchanged . A right pleural effusion is small . Opacities near the periphery of the right lung and rib fractures could be contusions .
    OUTPUT:
    
1 . Right subclavian approach central venous line tip projects over the expected region of the SVC . 2 . Newly placed right chest tube tip projects over the right mid thorax but the side port may or may not be within the thoracic cavity , projecting just over the ribs in the right lateral chest wall . 3 . Slight interval decrease in right apical lateral pneumothorax . 4 . Bilateral , left greater than right pleural effusions . 5 . Bilateral parenchymal opacities could be contusions in the setting of trauma and displaced rib fractures .