Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are noted to be hyperexpanded and the hemidiaphragms are somewhat flattened . There is blunting of the bilateral costophrenic angles , which may be secondary either to bilateral pleural effusions or pleural thickening . There is no focal consolidation , pneumothorax , or pulmonary edema identified . The heart size is normal . Mediastinal contours are normal . Multiple , old , healed bilateral rib fractures are seen , unchanged from prior examinations . Redemonstrated is a cluster of small metallic coils are noted within the right upper quadrant .
    OUTPUT:
    
1 . No radiographic evidence for acute cardiopulmonary process . 2 . Blunting of the bilateral costophrenic angles , which may be due to the there pleural effusions or pleural thickening . 3 . Multiple , bilateral , healed rib fractures