Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . Cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities are identified .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . No evidence of a rib fracture . However , please note that a chest radiograph is suboptimal for evaluation of subtle rib fractures . If there is persistent clinical concern , recommend further evaluation with dedicated rib series .