Multiple displaced rib fractures bilaterally. No definite pneumothorax observed, although visualization of the left lung base is obscured by defibrillator pads. Small pleural effusion likely present on the right. Possible lateral elevation of the left hemidiaphragm, which may indicate atelectasis or effusion. Mildly increased reticular markings in the lungs bilaterally, likely due to a combination of the supine position and age-related changes.
Acute rib fracture (Present) Atelectasis (Uncertain) Simple pleural effusion (Uncertain)