Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal silhouette is top normal . Post radiation changes in the left lung apex are again noted . Chronic fractures of the left fifth through seventh ribs are unchanged . No definite acute left rib fracture detected . No evidence of pneumothorax , new focal consolidation , or pleural effusion . Exaggerated thoracic kyphosis is present , with multilevel degenerative changes of the thoracic spine .
    OUTPUT:
    
Within the limitations of chest radiography , no evidence of acute left rib fractures . Chronic left rib deformities are unchanged since ___ . No new focal consolidation .