Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated to the right . The lungs are hyperinflated . There is right costophrenic angle opacity which may be due to atelectasis , pleural effusion , pulmonary contusion not excluded given overlying rib fractures . There are multiple right - sided rib fractures including the right lateral fourth through of seventh and possibly eighth rib . Possible nondisplaced left - sided rib fractures involving the anterolateral left fourth and sixth ribs and possibly the fifth rib . No definite pneumothorax identified . The cardiac silhouette is top - normal . Mediastinal contours are unremarkable .
    OUTPUT:
    
Right - sided rib fractures involving at least the lateral right fourth through seventh ribs and possibly the eighth rib . Lateral right base opacity could be due to pulmonary contusion given overlying rib fractures and / or pleural effusion .