Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs well expanded and clear . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is unremarkable . No acute fracture is seen . There is a small bony protrusion along the superior aspect of the distal right clavicle , which appears to have increased in size from prior exam .
    OUTPUT:
    
1 . No acute fracture is seen , however chest radiographs are insensitive for rib fractures . If rib fracture is still clinical concern , dedicated rib radiographs with points of tenderness marked with BB markers could be obtained . 2 . No acute cardiopulmonary process . 3 . Very small likely osteochondroma along the superior aspect of the distal right clavicle . Recommend montioring in terms of signs and symptoms , can obtain radiographs if it becomes symptomatic . Recommend advising patient to avoid palpating the area to avoid irritating it .