Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The mediastinal and hilar contours are unremarkable . The pulmonary vasculature is normal . No focal consolidation , pleural effusion or pneumothorax is identified . Sclerotic focus involving the 3rd rib anteriorly appears unchanged . No acute osseous abnormalities demonstrated . Remote left sided rib fractures are again seen .
    OUTPUT:
    
No acute cardiopulmonary process .