Patient went on to have a bronchoscopy. This CXR was obtained 4 hours after the first xray.
The ETT and NGT remain in situ. There is improvement in the appearance of airspace opacity within the left lower lobe, with only patchy change persisting within the medial aspect of the left lower zone. The left pleural effusion has resolved. Allowing for projection, the cardiomediastinal contours are within normal limits. Bilateral rib fractures.