Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded and clear . No focal consolidation , edema , effusion , or pneumothorax . Heart size is normal . Mediastinum is not widened . No acute osseous abnormality on this nondedicated exam .
    OUTPUT:
    
No pneumothorax . No obvious fracture . Dedicated rib films is recommended corresponding to the area of focal exam findings if there is concern of fracture .