Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal , and hilar contours are normal . Lungs are clear without focal consolidation . Scarring within the lung apices is unchanged . There is no pleural effusion or pneumothorax . No rib fractures are identified .
    OUTPUT:
    
1 . No focal consolidations concerning for pneumonia identified . 2 . No rib fractures are identified , however conventional radiographs are not effective in evaluating the chest cage . If there is further clinical concern , a marker at the site of focal tenderness with dedicated rib films would be recommended for further evaluation .