IMPRESSION:
Small region of opacity at the apex of the right lung is presumably resection
 artifact. Right upper thoracic pleural drain in place. There may be a very
 small right pleural air collection medial to the lower part of the pleural
 drain. There is no appreciable pleural effusion. Subcutaneous emphysema in the
 right chest wall is commonly seen after Chest surgery.  Extensive left-sided
 pleural thickening and scarring are presumably post traumatic given the
 presence of multiple healed left rib fractures.
 
 
 Heart size normal.