Presence of a left-sided chest tube and left internal jugular central line with the tip in the left brachiocephalic vein. Low lung volumes noted. Multiple left-sided rib fractures with adjacent pleural thickening and pleural fluid are observed. No definitive pneumothorax identified. Patchy parenchymal opacities in the left mid lung zones may suggest underlying pulmonary contusion. The cardiomediastinal silhouette appears unchanged, with mild prominence of the mediastinum, potentially related to imaging technique.
Acute rib fracture (Present) Simple pleural effusion (Present) Pulmonary congestion (Uncertain) Pleural scarring (Present)