Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were provided . A dual - lead pacer is unchanged in position . The previously noted right IJ central venous catheter has been removed . The lungs are clear and well inflated without focal consolidation , effusion or pneumothorax . Cardiomediastinal silhouette is stable . No acute fractures are seen .
    OUTPUT:
    
No traumatic findings . If strong clinical concern for rib fracture , a dedicated rib series may be performed to further assess .