Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate normal heart size , mediastinal and hilar contours . Surgical clips are noted projecting over the left scapula on the frontal view . Blunting of the left costophenic sulcus is likely related to old injury . Clips are seen projecting over the left upper quadrant . No focal consolidation or pneumothorax . There is bronchial wall thickening on the lateral view . Old left posterior 5th rib fracture . Possible left 3rd rib fracture .
    OUTPUT:
    
Possible left 3rd rib fracture . Recommend dedicated rib view with marker at site of pain . Recommendation was emailed to the ED QA nurses ___ as the patient had already been discharged .