Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar mediastinal contours are normal . No focal consolidations concerning for pneumonia are identified . There is no pleural effusion , pneumothorax . No definite rib fractures are identified .
    OUTPUT:
    
No acute intrathoracic abnormalities identified . No definite rib fractures identified . If high clinical concern for rib fracture persists , dedicated rib series or chest CT is more sensitive .