Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are normal . No focal consolidation , pleural effusion or pneumothorax . Cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities are identified . However , note that a chest radiograph is not sensitive for detection of chest wall trauma .
    OUTPUT:
    
No acute cardiopulmonary process . If there is concern for rib fractures , dedicated rib series in the area of focal tenderness should be performed .