Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient 's necklace overlies the very upper chest in the midline . Given this , the lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable . No displaced rib fracture is seen .
    OUTPUT:
    
No acute cardiopulmonary process . No displaced rib fracture seen . If clinical concern remains high , consider oblique views or chest CT , which are more sensitive .