Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Screw and plate fixation of three right - sided rib fractures ( 7 , 8 and 9 ) appear unchanged . No newly displaced fracture is identified although a persistent non - displaced lucency is seen along the right eighth rib . No pneumothorax is seen . As compared to the prior examination , a right - sided effusion appears decreased , though a small effusion may persist . Elevation of the right hemidiaphragm appears stable . No focal consolidation to suggest pneumonia is seen . Patchy scarring is unchanged in the right mid lung . The heart size is normal .
    OUTPUT:
    
Stable appearance of screw and plate fixation of right - sided rib fractures , including persistent unhealed lucency through the right eighth rib without displacement . No pneumothorax is seen . Decreased right pleural effusion although a small persistent effusion is suspected .