Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are normal . The heart is normal in size . The lungs are hyperinflated . There is no focal consolidation , pleural effusion or pneumothorax . No rib fractures are identified .
    OUTPUT:
    
Hyperexpanded , clear lungs . No rib fractures identified . Of note , plain radiographs are not sensitive for the detection of rib fractures .