Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no rib fracture . If clinical symptoms persist , dedicated rib series radiographs could be obtained . There is no focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . The cardiomediastinal silhouette is within normal limits . The aorta is tortuous . There is dextroscoliosis of the thoracic spine . Incidental note is made of cement from prior vertebroplasty .
    OUTPUT:
    
1 . No rib fracture . If clinical symptoms persist , dedicated rib series radiographs could be obtained .