There is a moderate left pleural effusion; the largest AP dimension is 3 cm. There is left lower lobe atelectasis with air bronchograms present. There is a small left pneumothorax; the largest AP dimension is 11 mm at the base anteriorly. There is atelectasis also noted in the right lower lobe. There are multiple fractures noted on the left, the 5th to the 10th ribs. There are flail segments of the fifth to the ninth ribs with displacement of the 5-7th flail rib segments medially. There is associated surgical subcutaneous emphysema on the left.
There is also a small diaphragmatic hernia in the left mid diaphragmatic cupula containing intra-abdominal fat.