Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are well - expanded and clear . The cardiac silhouette is unchanged . Patient is status post CABG and pacemaker / ICD device placement with leads ending in the right atrium and right ventricle . Median sternotomy wires are intact . No pneumothorax , pleural effusion , or consolidation . No acute displaced rib fractures .
    OUTPUT:
    
No acute displaced rib fractures . If there is ongoing concern for rib fractures , recommend dedicated radiographs of the ribs with a BB marker placed in the location of pain .