Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . The heart size is within normal limits . No configurational abnormality is identified . Unremarkable appearance of thoracic aorta . No mediastinal abnormalities are present . The pulmonary vasculature is not congested and no signs of acute or chronic pulmonary infiltrates can be seen . The lateral and posterior pleural sinuses are free from any fluid accumulation . No evidence of pneumothorax in the apical area . Skeletal structures of the thorax are characterized by multiple deformities in bilateral location . They have the appearance of healed rib fractures with callus formation and are located on the frontal view in the lateral aspect of ribs # 4 , 5 , 6 and 7 . On the left side , similar injuries exist , however , slightly less marked and involve again ribs # 4 through 8 . The kyphotic curvature of the thoracic spine is unremarkable on the lateral view and there is no evidence of any vertebral body compression fracture . There is also evidence of an old fracture in mid portion of the left clavicle again with bridging callus . Our records do not include a previous chest examination available for comparison .
    OUTPUT:
    
No evidence of cardiac enlargement , pulmonary congestion , or acute or chronic pulmonary parenchymal infiltrates . Appearance of bilateral old multiple rib fractures and left - sided clavicle fracture apparently of older date .