Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded and clear . No focal consolidation , effusion , edema , or pneumothorax . Tiny increased density projecting over the right posterior rib end just to the left of midline is most likely a vessel on end or a tiny calcified granuloma . No concerning pulmonary masses are identified . The heart size is normal . The mediastinum is not widened . Hilar contours are unremarkable . No evidence of a pleural abnormality . No evidence of an acute osseous abnormality including rib fractures on this nondedicated exam .
    OUTPUT:
    
1 . No pneumothorax . 2 . This exam is not dedicated for imaging of the ribs . If there is high concern for rib fracture , consider dedicated rib radiographs with a BB marker indicating area of focal pain .