AP- radiograph shows apparent elevated hemidiaphragm and a large gastric bubble with air-fluid level adjacent to the left heart border with positive mass effect and mediastinal shift to the right as well as compression of the boardering lung parenchyma. No pleural effusion or consolidation, no evidence of pneumothorax. No rib fracture.
The lateral radiograph taken an hour later shows a newly placed NGT with a loop configuration in the gastric corpus which lies intrathoracically. Again, air-fluid level and no apparent pneumothorax visible. Normal alignment of the vertebrae.