Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded and clear . No focal consolidation , edema , effusion , or pneumothorax . The heart size is normal . The mediastinum is not widened . The hilar and pleural contours are normal . No acute osseous abnormality . Dextroconvex scoliosis of the thoracic spine is mild . Vertebral body heights are preserved .
    OUTPUT:
    
1 . No acute intrathoracic process . 2 . No evidence of fracture on this nondedicated exam . Is suspicion for rib fracture is high , dedicated rib films could be obtained .