Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple right - sided rib fractures are seen including likely the lateral right third through seventh ribs . Comminuted mid right clavicular fracture is seen . There are relatively low lung volumes . Blunting of the costophrenic angles suggests small pleural effusions , right greater than left . No definite pneumothorax is seen although a small pneumothorax would be difficult to exclude radiographically . The cardiac and mediastinal silhouettes are unremarkable .
    OUTPUT:
    
Multiple right - sided rib fractures and small to moderate right pleural effusion . Possible small left pleural effusion . No discrete pneumothorax seen although CT would be more sensitive . Comminuted mid right clavicular fracture is seen .