Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Inspiratory volumes are quite low and there is considerable lordotic positioning . A left apical chest tube has been placed . Mediastinal contour is unchanged . Endotracheal tube ends 2 .0 cm above the carina . Partially image nasoenteric tube . Cardiomediastinal silhouette remains prominent . Possible slight left - sided pleural thickening , particularly in the upper chest . There is prominence of the pulmonary vessels and increased retrocardiac density , though the significance of these findings , given the degree of low inspiratory volumes , is uncertain . Multiple displaced left rib fractures again seen associated with subcutaneous gas . Known right - sided rib fractures not well seen on the current radiographs . A displaced left humeral neck fracture and left scapular fracture re - demonstrated .
    OUTPUT:
    
Interval placement of a left apical chest tube . No pneumothorax seen . Other findings , as above .