Follow-up frontal chest radiograph shows interval placement of both right and left chest tubes. The left pneumothorax is not clearly visualized, suggesting possible resolution, and there is no longer evidence of mediastinal shift. The endotracheal tube now terminates 3-4 cm above the carina. Ill-defined opacities in the left upper lung and right lower lung may represent air space disease. The evaluation is somewhat limited due to the presence of a superimposed trauma backboard. The previously noted left-sided rib fractures, subcutaneous emphysema, and the radiopaque catheter over the left upper lung are redemonstrated.
Acute rib fracture (Present) Air space opacity–multifocal (Uncertain) Subcutaneous Emphysema (Present) Simple pneumothorax (Uncertain) Pleural tube (Present) Suboptimal endotracheal tube (Present)