Newly developed surgical emphysema involving the chest walls, more on the right side as well as the root of the neck bilaterally (red arrows). There is also suspicion of pneumomediastinum, especially on the left side (yellow arrows). Tracheostomy tube and nasogastric tubes are noted (blue arrow). Redemonstrations of the previously described bilateral pulmonary patchy heterogeneous opacities. Both costophrenic angles are minimally blunted.