Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal silhouette and cardiac shadow silhouette are within normal limits . Pulmonary vasculature is normal in caliber . There is no pleural effusion . There is no pneumothorax . There is no area of consolidation . There is no evidence of pneumothorax . There are atherosclerotic calcifications of the aortic arch . There are healed fracture deformities of the left sixth through ninth ribs . Opacities a left apex are secondary to sternoclavicular joint as seen on recent CTA neck ___ .
    OUTPUT:
    
Unchanged examination without consolidation or evidence of pleural effusion .