Small left pneumothorax. Bilateral dependent atelectasis. No hemothorax. Heart and mediastinal structures are normal.

Bone injuries:

• comminuted fracture of the mid and distal left clavicle
• comminuted fracture of the left scapular body, neck and glenoid process
• undisplaced fractures of left ribs 2-7 anteriorly
• fractures of left ribs 2-9 posteriorly, some of which are displaced
• therefore flail segment 2-7

Partial left lower lobe collapse. A moderately large left hemothorax is present on the left on a background of multiple rib fractures. Left claviclular and scapular fractures noted.

Further collapse and consolidation of the left lower lobe. Large left hemothorax is enlarging. Multiple left rib fractures are further displaced. Left claviclular and scapular fractures noted.

No notable changes.

Day 11 post trauma for pleural catheter loculated collection

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.

Plating of the left 3rd and 4th rib fractures anteriorly with restoration of the normal shape of the left chest wall. Left pleural effusion has almost completely resolved post-VATS.