Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without confluent consolidation . There is no pulmonary edema or pleural effusions . Mediastinal and hilar contours are within normal limits . The heart size is normal . There is no pneumothorax . No rib fracture is evident on this chest radiographic examination . Vertebral body heights appear preserved . On the frontal projection , there is suggestion of possible bifid spinous process of the lower cervical spine .
    OUTPUT:
    
No acute cardiopulmonary process . No traumatic injury . If concerned about rib fractures , recommend dedicated rib films .