FINDINGS:
As compared to the previous radiograph, the patient has been
 intubated.  The tip of the endotracheal tube projects 3 cm above the carina. 
 The course of the nasogastric tube is unremarkable.  Normal lung volumes.  No
 acute lung changes.  No pulmonary edema, no pneumonia, no pleural effusions. 
 Old left clavicular and right rib fractures.