Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . A bullet with adjacent tiny fragments is again noted projecting over the left chest wall anteriorly with a similar overall position compared with prior exam from ___ . Adjacent tiny fragments are also unchanged . Lungs remain clear . Cardiomediastinal silhouette is normal . No large effusion or pneumothorax . Imaged osseous structures are intact .
    OUTPUT:
    
Bullet fragments appear in unchanged position within the left anterior chest wall .