The initial chest radiograph demonstrates a right apical pneumothorax and opacification of the right hemithorax, which may be due to contusion, hemorrhage, or aspiration. There is also elevation of the right hemidiaphragm and fractures of the right clavicle, scapula, and upper ribs. The cardiomediastinal silhouette and vasculature appear within normal limits.
Acute rib fracture (Present) Acute scapula fracture (Present) Acute clavicle fracture (Present) Simple pneumothorax (Present) Aspiration (Uncertain)