FINDINGS:
In comparison with the study of , there has been development of
 diffuse bilateral pulmonary opacifications with widening of the vascular
 pedicle.  In view of the injury to the manubrium, this most likely represents
 congestive failure, possibly exacerbated by large amounts of fluid
 replacement.  Bilateral pleural effusions are seen with compressive
 atelectasis at the bases.
 
 In view of the multiple traumas, the possibility of fat embolism syndrome
 would have to be considered if diuretic therapy is insufficient to cause
 clearing of the radiographic findings.