FINDINGS:
There is a moderate size right sided pneumothorax.  There is no secondary
 mediastinal shift.  Streaky right basilar opacity is likely atelectasis. 
 There are multiple right-sided rib fractures including an acute appearing
 anterior right fourth rib fracture which is mildly displaced.   Discontinuity
 with mild displaced of the posterior right third rib is new since . There are chronic appearing fractures of the posterior right seventh and
 eighth ribs as well as the lateral left upper ribs.  Small fracture fragment
 seen at the inferior aspect of the distal clavicle suspicious for fracture. 
 Surgical clips noted in the abdomen.

IMPRESSION:
Moderate right pneumothorax without mediastinal shift.
 Acute appearing mildly displaced posterior right third and anterior right
 fourth rib fractures.