Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple healed right rib fractures are present . No definite acute rib fractures are evident on this chest radiograph which was not specifically tailored to assess the ribs . There is no pneumothorax or pleural effusion . Cardiomediastinal contours are within normal limits , and lungs are grossly clear . Abandoned pacemaker lead remains in place , terminating in the right ventricle .
    OUTPUT:
    
Multiple healed right rib fractures . No definite acute rib fractures detected , but diffuse osseous demineralization and lack of dedicated rib radiographs limit sensitivity for detecting acute fractures . If symptoms are localized 3 specific region , coned - down rib radiograph could be obtained with a marker if warranted clinically .