Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been no significant interval change . Expansile anterior left lower rib sclerotic , is again seen . Evidence of multiple old right - sided rib fracture is again seen . No definite focal consolidation is seen . There is no large pleural effusion or pneumothorax . The aorta is calcified and tortuous . The cardiac silhouette remains enlarged , but stable in configuration .
    OUTPUT:
    
No significant interval change aside from possible increase in sclerosis of the anterior lower left expansile rib .