Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again noted is a distal left clavicular fracture . The left acromioclavicular joint appears congruent . No acute fractures are identified . The lungs are clear . The cardiac and mediastinal silhouettes are within normal limits . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Again noted is previously seen distal left clavicular fracture with no acute cardiopulmonary process otherwise .