Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy , CABG , aortic valve replacement , and vascular stenting . Heart size is mildly enlarged with a left ventricular predominance . The aorta is unfolded . The hilar contours are normal . There is no pulmonary vascular congestion . Lungs are clear . No pleural effusion , focal consolidation or pneumothorax is seen . Remote right ___ posterior rib fracture is noted . No acutely displaced fractures are seen .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Remote right ___ posterior rib fracture . No acute fracture seen . If there is continued concern for an acute rib fracture , then a dedicated rib series is recommended .