Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded and clear . No focal consolidation , edema , effusion , or pneumothorax . The heart is normal in size . The mediastinum is not widened . The hila and pleura are unremarkable . No evidence of a fracture .
    OUTPUT:
    
No acute cardiopulmonary process . If there is clinical concern for fracture , dedicated rib films could be obtained .