Placement of left subclavian central line with its tip in the left brachiocephalic vein. Unchanged left chest tube. No evidence of pneumothorax. Interval worsening of right lower lobe consolidation, which may represent aspiration. T12 and L1 vertebral body fractures noted. Multiple bilateral rib fractures are better appreciated on CT scan.
Acute rib fracture (Present) Simple pneumothorax (Absent) Aspiration (Uncertain)