Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette size is normal . The mediastinal and hilar contours are normal . Lungs are clear . No pleural effusion or pneumothorax is present . The pulmonary vascularity is normal . There are mild degenerative changes in the thoracic spine . Deformity of the distal right clavicle is compatible with remote trauma . Partially imaged are screws within the left humeral head . There is mild deformity of the right 5th rib laterally , and a fracture can not be excluded .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Mild deformity of the right 5th rib laterally could reflect a fracture . Clinical correlation is recommended , and a dedicated rib series can be obtained for further evaluation .