Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are clear . The heart is mildly enlarged . The mediastinal silhouette , hilar contours , and pleural surfaces are normal . No pneumothorax , pleural effusion , or pulmonary edema . No focal consolidations are noted . There are no obvious left rib or scapular fractures on this limited exam although this study has limited sensitivity for the detection of such .
    OUTPUT:
    
No acute cardiopulmonary process . No evidence of obvious left rib or scapular fractures ; however if high clinical concern for such , suggest dedicated imaging of the left ribs and / or left scapula . .