Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion , pulmonary edema , or pneumothorax . The cardiomediastinal silhouette is normal . Multiple rib anomalies are noted including ___ paired ribs , left sixth and seventh rib fusion , and multiple irregularly spaced rib interspaces .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Multiple congenital rib anomalies .