Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a left apical pneumothorax that measures up to 1 .4 cm from the thoracic cage , which has not changed significantly compared to the prior radiograph performed at an outside facility several hours earlier . No focal consolidation or pleural effusion . Cardiomediastinal silhouette is within normal limits . Again noted is an acute mildly displaced fracture of the left eighth rib . No other acute osseous abnormalities are identified .
    OUTPUT:
    
Acute mildly displaced left 8th rib fracture , with resulting 1 .4 cm left apical pneumothorax .