Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . No pleural effusion , pulmonary edema , focal consolidation , or pneumothorax . The heart size is normal . No mediastinal widening . The hila and pleura are unremarkable . There left anterior fifth , right fifth anterior , and seventh left lateral rib fractures are minimally displaced . No soft tissue gas is seen .
    OUTPUT:
    
1 . No pneumothorax or effusion . 2 . Multiple bilateral rib fractures as above . Note that chest radiograph is not optimal for evaluation of the thoracic wall . Dedicated Chest CT could be performed if detailed assessment of the chest wall is desired .