Let $A,B$ be two $R$-modules over a commutative ring $R$ (restrict to $R = \mathbb{Z}$ or $R= \mathbb{K}$ a field where appropriate). Suppose $A$ and $B$ fit into an exact sequence $0 \to R^p \to A \to R^r \to R^q \to B \to 0$ for integers $p,q,r > 0$, $r\geq q$ where $R^{n} = R \oplus R ... \oplus R$ ($n$-times). Then what can be said about $A$ and $B$? Specifically, 1) Are there any cases where $A$ and $B$ be computed (most generally in terms of $p,q,r$)? If not 2) Given an allowed $B$ what can be said about $A$? 3) Given an allowed $A$ what can be said about $B$?