Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded and clear . No focal consolidation , effusion , or pneumothorax . The heart is normal in size . The mediastinum is not widened . This exam is not dedicated for imaging of the osseous structures . Within this limitation , no obvious rib fracture is identified . Levoconvex scoliosis of the thoracic spine mild and could be positional .
    OUTPUT:
    
1 . Lungs are clear . 2 . This exam is not dedicated imaging of the ribs or shoulders . If clinical concern for fracture in is high , dedicated rib films targeted to areas of focal pain and dedicated shoulder films should be obtained .