Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded and clear . No focal consolidation , effusion , or pneumothorax . The heart is normal size . Mediastinum is not widened . No evidence of a fracture .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . No evidence of a fracture on this nondedicated exam . Is clinical concern for rib fracture , dedicated rib series radiograph should be obtained .