Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is enlarged . No definite pneumothorax . No pleural effusions . No major parenchymal abnormalities . Improved lung volumes bilaterally . No evidence of pulmonary hemorrhage on plain radiograph . Compression fracture in the mid thoracic vertebra is unchanged . Again seen is bilateral lateral rib fractures more extensive on the right than the left better seen on recent CT . Right PICC tip terminates in the mid SVC .
    OUTPUT:
    
Bilateral rib fractures are again noted with no definite pneumothorax or pleural effusions . No major parenchymal abnormalities and no evidence of pulmonary hemorrhage on plain radiograph .