Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A marker is seen on one view and overlies the lowermost right ribs . A rounded wire - like density over the left upper abdomen appears to represent a surgical clip . Additional sutures are seen in the left upper quadrant . No displaced rib fracture or obvious lytic or sclerotic lesion is detected .
    OUTPUT:
    
1 ) Background COPD . No acute pulmonary process identified . 2 ) No displaced rib fracture or obvious lytic or sclerotic lesion detected . 3 ) Evidence of prior surgery .