The external ear canals are free of foreign material and abnormal secretion. The external nares are without note. The nasal skeleton is palpably intact. The lips are without evident injury. There is dried up white foamy purge present in the left corner of the mouth.
Natural dentition is present in the upper and lower jaw.
The neck and anterior torso are unremarkable. There are multiple Duragesic transdermal Fentanyl patches present in the front aspect of the right shoulder, right upper and lower front thigh, left front thigh, and left and right upper back areas. A small periumbilical scar is present. The external genitalia and the anal orifice are without note. Finger clubbing and peripheral edema are absent.