Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Per the radiology technologist , patient unable to sit up straight , move his hands out of the way , bring his knees down , and raise his head . Best images possible . The patient 's chin overlies the lung apices , right greater than left . The patient has a battery pack overlying the right mid chest , partially obscuring the view . Leads extend into the neck . There are multiple left - sided rib fractures which appear subacute to old . Lung volumes are low . No pleural effusion is seen . There is no definite focal consolidation seen . The aortic knob is calcified . The cardiac silhouette is not enlarged . No evidence of pneumothorax is seen . No overt pulmonary edema is seen .
    OUTPUT:
    
Suboptimal study , as above including patient 's chin overlies the right greater than left lung apices and battery pack overlying the right mid hemithorax , as well as patient positioning . Given this , low lung volumes without definite focal consolidation . No pleural effusion seen . Multiple left - sided rib fractures which appear likely nonacute .