Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable frontal view of the chest . The lung volumes are low ; however , within this limitation , the lungs are clear without focal opacity , pleural effusion or pneumothorax . The cardiac and mediastinal contours are normal . The two most inferior cervical spine screws are fractured which is new since ___ .
    OUTPUT:
    
Fracture of the two most inferior cervical spine screws is new since ___ . No acute intrathoracic process . Comment : ___ discussed with ___ by ___ .