Comminuted fracture of the left humerus. The humeral head is displaced into the left upper hemithorax abutting the aortic arch. Comminuted fracture of the left clavicle, left transverse process of T1 and the 1st and 2nd ribs. Suspected fractures are seen involving 3rd ,4th and 5th ribs. Soft tissue haematoma with surgical emphysema involving the left shoulder and upper chest wall. Moderate haemothorax is on the left side. Patchy shadowing is seen involving the left lung more marked in upper lobe most likely representing contusions.