Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The soft tissue of the upper anterior chest wall is markedly thickened , and should be inspected for possible hematoma . The manumbrium is not clearly delineated and could be fractured . The mid thoracic spine which is scoliotic is also difficult to see . Bone detail views of both manubrium and thoracic spine , or Chest CT , are indicated . The heart size is within normal limits . The mediastinal contours demonstrate a mildly tortuous aorta , but no mediastinal widening . The lungs are clear . There is no pleural effusion or pneumothorax . No displaced rib fracture is appreciated but conventional radiography is not designed for detection of subtle chest cage trauma ; for that determination , detail views of the locations of physical findings would be required .
    OUTPUT:
    
Possible hematoma , upper anterior chest . Mid thoracic scoliosis ; trauma must be excluded . Findings were communicated to ___ at 8 :45 AM on ___ by ___ ___ over the phone .