Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior radiographs there are new discontinuities involving the upper and lower most among three cerclage wires situated along lateral right lower ribs , which are also only completely visualized on the lateral view . There is no gross change in alignment since the prior radiographs ; however the ribs are difficult to visualize . The heart is moderately enlarged , as before . The mediastinal and hilar contours appear unchanged . There is patchy unchanged opacification in the right lower lung suggesting scarring with no definite pleural effusion or pneumothorax . Slight loss among vertebral body heights along the thoracic spine appear unchanged .
    OUTPUT:
    
Limited views of the right ribs with discontinuities in cerclage wires that appear new since the most recent prior studies , although the acuity of this change is otherwise not possible to assess .