Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been no significant interval change compared to the prior radiograph performed on ___ at 00 : 53 . Lungs are free of focal consolidation , pleural effusion or pneumothorax . Stimulator device projects over the left anterior chest wall . No acute osseous abnormalities are identified . However , note that a chest radiograph is not sensitive for the detection of chest wall trauma .
    OUTPUT:
    
No acute cardiopulmonary process . If there is persistent clinical concern for a rib fracture , dedicated rib series directed at areas of focal findings should be performed .