Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . There is no pleural effusion , pneumothorax or focal airspace consolidation . Heart is top normal in size but unchanged . Prior right - sided central line is no longer seen . Mediastinal and hilar contours are unremarkable . Multiple chronic appearing right - sided rib fractures are again noted .
    OUTPUT:
    
No acute cardiopulmonary process .