Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . There is no displaced rib fracture . No pleural effusion , pneumothorax or focal airspace consolidation . A calcified left upper lobe granuloma is unchanged . Severe cardiomegaly is unchanged , with obvious enlargement of the right atrium . Pulmonary vascularity is normal . Multilevel degenerative changes seen throughout an osteopenic spine .
    OUTPUT:
    
No displaced rib fracture . If concern for a fracture persists , a dedicated rib series with markers would be of utility .