Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP lateral images of the chest . The lungs are well expanded and clear . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is unremarkable . On the lateral view , the decending aorta is more prominent than on prior exams , which could represent a small aneursym at that level . No acute fracture is seen on this limited exam .
    OUTPUT:
    
1 . No acute fracture is seen , but chest radiographs are insensitive for rib fractures . If there is high clinical concern for rib fracture , dedicated rib films would be recommended with the sites of tenderness to palpitation marked . 2 . On the lateral view , the decending aorta is more prominent than on prior exams , which could represent a small aneursym at that level . Recommend correlation with clinical history and physical findings to assess the likelihood that the patient 's fall was caused by this possible anuerysm or an associated acute dissection . These findings were communicated to Dr . ___ at 8 :01 a .m . on ___ by phone .