Minor passive collapse/consolidation at the left lower lobe. Mild collapse/consolidation at the right lung base. The lungs are otherwise clear. No pneumothorax. Moderate sized left-sided pleural effusion extending to the apical region - new finding compared to previous CT. No effusion on the right.
Heart and mediastinal structures are normal.
The anterior fractures of left ribs 2-5 are now displaced when compared with the previous CT, particularly ribs 2-3. The posterior fractures of left ribs 2-9 also show mild new displacement, particularly ribs 7-9.
Known comminuted fractures of the distal left clavicle and scapular body, neck and glenoid are unchanged.