Following instigation of treatment -
1. An endotracheal tube is just above the carina. Nasogastric tube in situ.
2. Pneumothorax has largely resolved and the mediastinum normalized, however the right intercostal tube is now in the chest wall.
3. Increasing intra-abdominal gas with Rigler's sign: both sides of the bowel wall outlined by intraluminal and extraluminal gas.