Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Cardiomediastinal silhouette and hilar contours are normal . Lungs are clear . Again identified is acute - on - chronic right clavicle fracture as well as multiple right - sided rib fractures with associated unchanged small right apical pneumothorax . There is no pleural effusion . Upon review with prior CT torso examination , the multiple , scattered acute - on - chronic fractures along with demineralized appearance of the bones for age , an underlying process is suggested .
    OUTPUT:
    
Unchanged small right apical pneumothorax in conjunction with multiple acute - on - chronic fractures . The multiplicity of acute - on - chronic fractures as well as possibility of underlying pathologic process was discussed over the telephone with Dr . ___ ___ by Dr . ___ at 11 :30 a .m . on ___ at time of initial review .