Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . There is a prominent epicardial fat pad . The lungs appear clear . There is an expansile lytic area along the suspected along the anterior lateral fourth rib , which is incompletely characterized . There are streaky opacities in the adjacent parenchyma . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
1 . No evidence of acute cardiopulmonary disease . 2 . Possible lytic lesion in the left fourth rib with adjacent pulmonary parenchymal reaction which may indicate that the lesion is posttraumatic but the possibility of soft tissue mass should be considered . Initial further evaluation with dedicated left rib radiographs is suggested .