Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is top - normal in size . No acute fracture is seen . Surgical clips are noted left neck .
    OUTPUT:
    
No acute cardiopulmonary process . No acute fracture detected . If concern for rib fractures persists , dedicated rib radiographs can be obtained .