Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hardware seen in the left clavicle . Chest tube has been removed . There are multiple left rib fractures again seen . Atelectasis in lungs bilaterally is unchanged . No pneumothorax . No pleural effusion . Cardiomediastinal and hilar contours are normal .
    OUTPUT:
    
No pneumothorax identified . Multiple rib fractures on the left and bilateral atelectasis .