Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are unchanged . Pulmonary vasculature is normal . The lungs are clear . No pleural effusion or pneumothorax is identified . Percutaneous gastrostomy catheter and spinal stimulator wires are again demonstrated . A catheter is also noted projecting over the right lung base , unchanged . Multiple clips are again seen in the right upper quadrant . No displaced fractures are identified .
    OUTPUT:
    
No acute cardiopulmonary process . No displaced fractures are seen . If there is continued concern for rib fracture , then a dedicated rib series is suggested .