Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the next preceding similar study of ___ . The heart size is normal . Thoracic aorta of ordinary dimension with some calcium deposits in the wall at the level of the arch . No local contour abnormalities are identified . Moderate elevation of the right - sided hemidiaphragm , similar as it existed on previous portable examination of ___ . No new pulmonary parenchymal abnormalities are seen . Deformities of the axillary portions of third , fourth , and fifth rib on the right side are again noted , consistent with the previously described rib fractures . Small local surrounding pleural thickenings are noted , but no remaining pneumothorax can be identified . The lateral and posterior pleural sinuses are free , thus no evidence of pleural effusion . When comparison is made with more remote chest examinations such as a PA and lateral chest examination ___ ___ , a moderate elevation of the right - sided hemidiaphragm existed already at that time . Thus , the high - positioned diaphragm is not related to the patient 's recent trauma that caused the rib fractures .
    OUTPUT:
    
Unchanged appearance of previously described rib fractures . No remaining pneumothorax or pleural effusion . No new pulmonary infiltrates .