Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size at the upper limits of normal . Aorta is minimally unfolded . There is no CHF , focal infiltrate , or effusion . No pneumothorax is detected . Focal densities are seen involving multiple left - sided ribs , suggestive of old , healed rib fractures . Right and left scapulae are grossly unremarkable on these films . Slight superior endplate scalloping of 1 of the mid thoracic vertebral bodies , question T7 is noted , but does not appear acute . No spondylolisthesis .
    OUTPUT:
    
No acute pulmonary process is identified . Focal densities along the left chest wall are most suggestive of old healed rib fractures . If there is no no history to account for this , then dedicated left rib radiographs would be recommended . The scapulae are within normal limits on these chest radiographs . If there is specific concern for scapular fracture , then dedicated scapular radiographs would be recommended . Slight superior endplate scalloping of 1 of the mid thoracic vertebral bodies , question T7 is noted , but does not appear acute . Again , clinical correlation is requested .