Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hypoinflated , likely accentuating the size of the cardiac silhouette . Allowing for changes due to this , the cardiomediastinal silhouette is stable . The thoracic aorta is mildly tortuous . Surgical clips overlie the expected location of the thyroid . The hila are within normal limits . The lungs are clear without focal consolidation . There is no pulmonary vascular congestion or pulmonary edema . There is no pneumothorax . There is no right pleural effusion . There is a small left pleural effusion . There is apparent dislocation of the left glenohumeral joint . Degenerative changes noted at the right shoulder . Right - sided rib fractures are noted involving right upper ribs . Right lower rib and left anterior second and third rib fractures are also noted . These are apparently new from the prior study from ___ . The upper rib fractures are not clearly delineated on shoulder films from ___ .
    OUTPUT:
    
1 . Small left pleural effusion . No focal lung consolidation . 2 . Apparent anterior dislocation at the left shoulder . 3 . Multiple right lateral rib fractures involving right upper and lower ribs are mildly displaced . Left second and third rib fractures . Some of these are may be chronic ; though not visualized in ___ correlate with tenderness on physical exam at these locations .