FINDINGS:
Cardiomediastinal contours are unchanged in position with
 persistent widening of right mediastinal contour, a change in appearance from
 a standard PA and lateral chest radiograph of  but similar to the
  radiograph.  This could potentially be due to accentuation of
 tortuous vascular structures by low lung volumes and portable semi-erect
 technique, but attention to this area on repeat study with improved
 inspiratory volume would be helpful to exclude a mediastinal mass or
 hemorrhage.  Slight improvement in bibasilar atelectasis.  No new areas of
 lung opacification.  Persistent small bilateral pleural effusions, seen to
 better detail on recent abdominal CT of the same date.  Multiple bilateral
 healed rib fractures.