Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are fully expanded and clear . There is no focal consolidation , effusion , or pneumothorax . There is no central vascular congestion or overt pulmonary edema . Mild bronchial wall thickening suggests bronchitis . Mediastinal and hilar contours are normal . Heart size is normal . No rib fractures are identified on this non-dedicated rib study .
    OUTPUT:
    
No acute intra thoracic process . No evidence of pneumothorax . No definite rib fractures identified on this non dedicated study . There is persisting clinical concern for rib fracture , consider dedicated rib views .