Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest film ___ at 11 : 20 is submitted .
    OUTPUT:
    
Nasogastric tube is seen coursing below the diaphragm with the tip projecting over the stomach . Two left chest tubes remain in place . A dual lumen endotracheal tube is unchanged in position . A right internal jugular introducing catheter remains in place with its tip in the proximal SVC . There continues to be a widened mediastinal contour with opacity in the left upper chest in this patient status post a ruptured aorta with dissection . Overall , the right lung remains grossly clear and the lower left lung has some interval improvement in aeration . No large pneumothorax is appreciated . There is some air within the left lateral chest wall soft tissues consistent with subcutaneous emphysema in this recently postoperative patient .