Bilateral effusions with bibasilar patchy opacities are present, suggesting atelectasis, but bibasilar pneumonia cannot be completely ruled out. The right paratracheal soft tissue could represent lymphadenopathy or may be associated with a fluid replete state. Clinical correlation is recommended, and further evaluation on follow-up imaging may be beneficial. There is noted interval improvement in pulmonary edema since the previous study. No evidence of pneumothorax is observed. The deformity of the right second anterior rib is likely due to prior trauma.
Acute rib fracture (Absent) Edema (Present) Hilar lymphadenopathy (Uncertain) Atelectasis (Uncertain) Pneumonia (Uncertain)