Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Evidence of multiple right - sided rib fractures are seen , involving at the least the right sixth , seventh , eighth , and ninth ribs . The T10 through T12 ribs are not well seen . There is a small - to - moderate right - sided pleural effusion . Left retrocardiac basilar and minimal right base lung opacity may relate to atelectasis , although underlying consolidation is not excluded . There may be a small right apical pneumothorax . The cardiac silhouette is top normal . The aorta is calcified and somewhat tortuous .
    OUTPUT:
    
1 . Multiple right - sided rib fractures including at least right sixth through ninth ribs which are somewhat displaced . Per report from ___ ___ from ___ , that report indicated a displaced right lateral seventh rib fracture , today there are additional rib fractures and there may have been interval injury in the interval . 2 . Possible small right apical pneumothorax . CT scan pending . 3 . Small - to - moderate right pleural effusion .