Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . Left - sided pleural effusion is seen both clearing inferiorly and projecting over the mid to upper thoracic cavity . The enlarged mediastinal contour is compatible with mediastinal , para-aortic hematoma identified on CT scan . The cardiac silhouette is within normal limits . No acute osseous abnormalities detected .
    OUTPUT:
    
Left - sided pleural effusion likely hemorrhagic as well as significant mediastinal hematoma , all better assessed on earlier CT scan and worrisome for aortic rupture . Vascular team had already been aware of patient 's diagnosis at time of interpretation .