There is a moderate to large right pneumothorax, with no mediastinal shift appreciated. There is also a wedge shaped peripherally based opacity within the collapsed mid to upper right lung. Heart size and mediastinal contours are normal.
There is a metallic, slightly irregular 9mm density projected within the superior mediastinum, immediately medial to the aortic arch. Smaller metallic fragments are also projected within the right mid to upper zone as well as over the lateral end of the right second rib. Moderate volume subcutaneous emphysema is present within the right supraclavicular fossa.