Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No consolidation , pleural effusion or pulmonary edema is seen , and the cardiac and mediastinal contours are normal . Median sternotomy wires are intact midline , and no bony abnormalities are seen .
    OUTPUT:
    
No acute cardiopulmonary disease and no evidence of fracture . Recommend focused rib series to further evaluate for rib fracture if clinically warranted .