Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left pacemaker with its right ventricular lead is noted , similar to prior CT . There is blunting of the left costophrenic angle , similar to prior exam . Chronic appearing rib fractures at the left mid hemi-thorax are noted . The lungs are clear . They do not have any poorly defined cavitary lung nodules .
    OUTPUT:
    
No radiographic evidence of septic emboli .