Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of the cardiac silhouette is slightly pronounced compared to the prior study . The mediastinal and hilar contours are unremarkable . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is present . No grossly displaced fractures are evident .
    OUTPUT:
    
No acute cardiopulmonary abnormality . No grossly displaced rib fractures are identified . If there is continued concern for a rib fracture , consider a dedicated rib series .