FINDINGS:
As compared to the previous radiograph, there is minimal
 improvement in aeration at the bases of the left lung.  The right lung
 continues to be unremarkable.  The nasogastric tube has been advanced.  The
 endotracheal tube is in unchanged, very high, position.  The left PICC line is
 also unchanged.  Status post bilateral clavicular fractures.  Presence of a
 small left pleural effusion cannot be excluded.