Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP portable view of the chest . Compared to prior exams , there has been no significant interval change . The lungs are clear of confluent consolidation , large effusion , or pulmonary vascular congestion . Cardiac silhouette is enlarged but stable in configuration . Densemitral annular calcifications are again noted . Multiple posterior right rib fractures are again noted . Known compression deformities in the thoracic spine are not well seen on this portable view .
    OUTPUT:
    
No significant change from earlier the same day .