Ride central venous catheter with the tip at the cavo-atrial junction, no pneumothorax. Neutral position of endotracheal tube: the tip is about 5cm above carina, normal position of nasogastric tube: it descends and crosses the diaphragm in the midline, left sided thoracotomy tube placed at the 5-6th intercostal space without any kinking: associated subcutaneous emphysema is present and deep sulcus sign is also seen suggesting air in the pleural space.
Postsurgical posterolateral thoracotomy metallic fixation wires are noted.
Figure 3 sign of aortic contour abnormality is nicely demonstrated.
There is clearly seen bilateral 3rd to 9th inferior rib notching.
Lungs are clear.