Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Midline sternotomy wires and mediastinal clips are again noted . No definite acute rib fracture on the right . There is an old left fifth lateral rib deformity . The lungs are clear . No effusion or pneumothorax . Cardiomediastinal silhouette appears normal .
    OUTPUT:
    
No definite sign of acute rib fracture . If there is strong clinical concern a dedicated rib series may be obtained . Old left rib deformity .