Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No displaced fracture is seen . The lungs are clear . There is unchanged cardiomegaly . Sternal cerclage wires are intact . The patient is status post mitral valve replacement . There is no pneumothorax . There is no pleural effusion . Pulmonary vascularity is normal .
    OUTPUT:
    
No displaced rib fracture is seen . However this study is not tailored for the evaluation of rib fractures . If there is continued clinical concern , please obtain a dedicated rib series with skin marker indicating the location of pain .