Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single supine AP portable view of the chest was obtained . Endotracheal tube is seen , terminating approximately 5 .4 cm above the level of the carina . An enteric tube courses below the level of the diaphragm , coiled in the expected location of the stomach , portion not included on the image . A right - sided chest tube is seen projecting over the mediastinum . There is diffuse , extensive subcutaneous emphysema bilaterally throughout the thorax . Numerous rib fractures are seen , particularly on the right , which are displaced . It is difficult to exclude left - sided rib fractures . Known right - sided pneumothorax is difficult to identify . No large pleural effusion is seen . There is prominence of the right hilum , which could be due to underlying consolidation / contusion . However , underlying atelectasis from pneumothorax is not excluded . There are also subtle opacities projecting over the left lung base as well .
    OUTPUT:
    
1 . Distal aspect of the right chest tube courses to the midline and projects over the lower mediastinum / superior cardiac silhouettes . Given single frontal image , difficult to assess whether anterior or posterior in location ; however , recommend withdrawal . This finding was discussed with Dr . ___ at 6 :20 p .m . on ___ via telephone , 3 minutes after discovery . 2 . Extensive subcutaneous emphysema diffusely throughout the thorax . Numerous rib fractures , particularly on the right , which are displaced . Possible underlying pleural hematoma . 3 . Concern for pulmonary contusions .