Left-sided double lead pacemaker device remains well positioned and the leads intact. The lungs and pleural spaces are clear. No pneumothorax. No signs of pulmonary oedema. Heart size is enlarged even allowing for projection. Right hemidiaphragm eventration containing large bowel is unchanged. No mediastinal contours and hila are normal. No free subdiaphragmatic gas. The lower thoracic crush fracture has reduced in height slightly more since the previous study.