Previously noted pneumomediastinum and extensive left cervical and flank subcutaneous emphysema are present. Mild pulmonary vascular congestion and minor cardiomegaly with cardiac prosthesis are again noted. Bilateral rib fractures are identified, with better visualization on prior CT.
Pulmonary congestion (Present) Acute rib fracture (Present) Cardiomegaly (Present) Subcutaneous Emphysema (Present) Pneumomediastinum (Present)