Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Left - sided pacemaker is unchanged in position . There are low lung volumes . No focal consolidation , pleural effusion or pneumothorax . There is bibasilar atelectasis . The cardiomediastinal and hilar contours are normal . No pneumothorax is seen . No rib fractures identified .
    OUTPUT:
    
No rib fracture or pneumothorax . Dedicated rib films at the site of pain and can be done to better assess for fracture .