Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right lateral chest is not fully included on the image . Endotracheal tube terminates 3 cm above the carina . Enteric tube courses below the diaphragm , out of the field of view . Partially imaged right sided chest tube is noted which appears to course to the mediastinum . There is extensive left chest wall subcutaneous emphysema and multiple displaced left - sided rib fractures , including left third through seventh ribs , and possibly eighth rib . The left diaphragm is obscured which may be due to atelectasis , aspiration , pleural effusion , pulmonary contusion . The right lung is not well assessed , but is lower in volume than that on the left . Relative opacity projecting over the partially imaged right lung could be due to layering pleural effusion , aspiration , and / or pulmonary contusion . Dual lead left - sided pacer device has leads extending to the expected positions of the right atrium and right ventricle .
    OUTPUT:
    
Lateral right chest not completely included on the image . Multiple displaced left - sided rib fractures with overlying subcutaneous emphysema . The left diaphragm is obscured which may be due to atelectasis , aspiration , pleural effusion , pulmonary contusion . The right lung is not well assessed , but is lower in volume than that on the left . Relative opacity projecting over the partially imaged right lung could be due to layering pleural effusion , aspiration , and / or pulmonary contusion . Partially imaged right sided chest tube is noted which appears to course to the mediastinum ; distal aspect obscured by overlying pacer lead .