Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Large retrocardiac hiatal hernia with air - fluid level is again seen . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . There is a fracture of the posterolateral right seventh rib and possible nondisplaced fracture of the posterior right sixth rib versus artifact . The lateral right sixth , eighth , ninth and lower ribs are not well evaluated on this study and if clinical concern , suggest dedicated rib series . The aorta is calcified and tortuous . Degenerative changes are seen along the spine .
    OUTPUT:
    
Minimally displaced fracture of the posterolateral right seventh rib and possible nondisplaced fracture of the posterolateral right sixth rib . The ribs are not optimally evaluated on this chest radiograph . Consider dedicated rib series for further evaluation .