Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest show stable heart size . The mediastinal and hilar contours are stable . There is no pleural effusion or pneumothorax . Increased interstitial lung markings are stable and may relate to pulmonary vascular congestion . There is no focal consolidation concerning for pneumonia . Again seen is chronic anterior dislocation of left shoulder and degenerative changes at the right glenohumeral joint . No displaced rib fractures are seen .
    OUTPUT:
    
No pneumothorax . No displaced rib fracture seen , however if there is high clinical concern , suggest rib series , which is more sensitive .