Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple surgical clips are seen along the right neck consistent with prior thyroidectomy and lymph node dissection . The heart appears somewhat enlarged but this is likely technical due to the projection and low lung volumes . The aorta is tortuous and shows a calcified wall , as before . Lung volumes are low however there is no focal consolidation , pleural effusion or pneumothorax . No fractures are identified .
    OUTPUT:
    
Low lung volumes . No focal consolidation , pleural effusion or pneumothorax . Mild pulmonary vascular congestion . Of note , this study is not particularly sensitive for the detection of rib fractures . Consider marking focal findings and obtaining dedicated rib radiographs if clinically indicated .