Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been no significant interval change . The right hemidiaphragm remains elevated anteriorly . Old posterior right sixth rib fracture is again seen . No new rib fractures identified . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . The cardiac and mediastinal silhouettes are stable . One to two ovoid calcific densities projecting over the left mid lung are similar to prior and may represent vessels on - end versus calcified granulomas .
    OUTPUT:
    
No significant interval change . No acute rib fracture seen . If clinical concern for acute rib fracture persists , dedicated rib series or chest CT is more sensitive .