Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . The cardiac silhouette is top - normal . Mediastinal hilar contours are unremarkable . Breast tissue seen overlying the right hemi thorax but not the left . No displaced fracture is seen , however , if there is clinical concern for rib or sternal fracture , dedicated sternal and rib series or chest CT are more sensitive and should be considered .
    OUTPUT:
    
No acute cardiopulmonary process . No displaced fracture seen , however , if there is clinical concern for rib or sternal fracture , dedicated sternal / rib series or chest CT are more sensitive and should be considered . Some degenerative changes seen at the lower thoracic spine with possible subtle anterior widening of a disc space . Correlate clinically for acuity , if focal symptoms related to this level , CT would provide further evaluation .