Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Midline sternotomy wires and prosthetic cardiac valve as well as mediastinal clips are again noted . The lungs are clear and well inflated . No pneumothorax or pleural effusion . No consolidation or signs of CHF . Cardiomediastinal silhouette is normal and stable . Bony structures appear intact .
    OUTPUT:
    
No acute traumatic injuries . If strong clinical concern for rib fracture , a dedicated rib series may be obtained to further assess .