FINAL REPORT
 INDICATION:  ___M with PMH of bipolar d/o and drug dependence (heroin/crack
 cocaine) on methadone, s/p MVA with left pneumothorax and shoulder/arm trauma,
 cervical spine fracture and skull base fracture, intubated, sedated.  //
 ?interval change
 
 IMPRESSION: 
 
 There is worsening of the opacity at the right base which may be due to fluid versus developing infiltrate. There remains a small left apical pneumothorax. There is mild improvement of the left pneumomediastinum since prior. There is extensive subcutaneous emphysema throughout the chest and neck soft tissue. There is a left-sided chest tube, right-sided subclavian central line, endotracheal tube, and feeding tube which are unchanged in position.
