Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Overlying EKG leads present . Right sixth rib fracture is noted , acute appearing . The right fifth posterior rib is also likely fractured . There is a left seventh rib deformity which appears subacute to chronic though new from prior exam . No pneumothorax . No consolidation , large effusion or edema . Cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Acute appearing right fifth and sixth posterior rib fractures . Subacute appearance of a left seventh rib fracture . No pneumothorax or effusion . Consider dedicated rib series to further assess if clinically warranted .