Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear . Cardiomediastinal and hilar contours are unremarkable . There is no pleural effusion or pneumothorax . No fractures are identified .
    OUTPUT:
    
No evidence of acute cardiopulmonary process or rib fractures . However , this study has limited sensitivity for the detection of rib fractures . If there is further concern , dedicated rib views are recommended .