Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple left rib fractures are again seen , and previously seen pneumothoraces on CTs scan are not well visualized on this radiograph . No pleural effusions or pulmonary edema is seen and the cardiac silhouette is normal .
    OUTPUT:
    
Previously noted left rib fractures are seen , and previously seen pneumothoraces are not well visualized on this radiograph .