Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated . There is thoracic scoliosis . The cardiac silhouette is enlarged . No focal consolidation is seen . No large pleural effusion or pneumothorax is seen . There is no pulmonary edema . The aorta is calcified . There is a least 1 left - sided rib fracture , involving the posterior lateral left sixth rib . The study is not sensitive for detection of rib fractures ; if there is clinical concern for additional injury , CT is more sensitive . Severe degenerative changes at the shoulder joints partially imaged .
    OUTPUT:
    
Mildly displaced fracture of the posterior lateral left sixth rib . This study is not sensitive for detection of rib fractures ; if there is clinical concern for additional injury , CT is more sensitive .