Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild cardiomegaly is unchanged . Mediastinal contour is normal . There is no focal consolidation , effusion or pneumothorax . No signs of congestion or edema . Chronic deformity of the right acromioclavicular joint is unchanged . There is subtle deformity at the lateral arch of the right ninth and tenth ribs which may represent acute fractures no findings are suboptimally assessed . Consider dedicated rib series to confirm .
    OUTPUT:
    
Possible right ninth and tenth lateral rib fractures which , if needed , can be confirmed on dedicated rib series .