Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest were acquired . The lungs are clear . The heart size is normal . The mediastinal contours are normal . There are no pleural effusions . No pneumothorax is seen . The bony thorax is grossly intact .
    OUTPUT:
    
1 . No acute cardiac or pulmonary process . 2 . No definite rib fracture identified . If there is continued clinical concern for rib fracture , a dedicated rib series can be obtained , including placement of a localizing radiopaque skin marker at the site of the patient 's pain .