Emergent fiberoptic bronchoscopy with lavage.   Status post multiple trauma/motor vehicle accident.  Acute respiratory failure.  Acute respiratory distress/ventilator asynchrony.  Hypoxemia.  Complete atelectasis of left lung.  Clots partially obstructing the endotracheal tube and completely obstructing the entire left main stem and entire left bronchial system.
Okuyingiza ekifuba ekikolebwa abasawo babiri mu ER - spontaneous pneumothorax secondary to barometric trauma.