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Note the generalised increased density to the right hemithorax and well-defined homogenous density laterally with a well-defined margin representing a supine distribution fluid meniscus. There is midline shift to the left due to mass effect in the right hemithorax. Multiple bilateral rib fractures are seen including fractures posteriorly and laterally on the right which may indicate a flail segment. Nasogastric tube and ETT are appropriately positioned. Attempted pneumocath insertion on the left has been unsuccessful with the catheter within the axilla soft-tissues. Bilateral apical capping is likely related to combination of extra-pleural haematoma from rib fractures and the haemothorax itself on the right. Pulmonary vascular markings are poorly seen on the right indicating pulmonary contusion. Lower volume pulmonary contusion is seen on the left.