Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the next preceding similar study of ___ . The heart size is within normal limits . No typical configurational abnormalities identified . Thoracic aorta unremarkable . No mediastinal abnormalities are seen . The pulmonary vasculature is not congested . No signs of acute or chronic parenchymal infiltrates are present , and the lateral and posterior pleural sinuses are free . No pneumothorax in apical area on frontal view . Multiple rib deformities with callus formation in the right upper thorax are consistent with multiple previous old and healed rib fractures . These findings existed already on the previous examination and are unchanged .
    OUTPUT:
    
No evidence of cardiac enlargement , CHF , or acute infiltrates in patient with history of cough .