Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chest : Minimal basilar atelectasis is seen . There is no focal consolidation . No large pleural effusion is seen . The lungs are relatively hyperinflated , with flattening of the diaphragms , suggesting chronic obstructive pulmonary disease . The aorta is calcified and unfolded . The cardiac silhouette is top - normal to mildly enlarged . No overt pulmonary edema is seen . The bones are diffusely osteopenic . Right - sided ribs . No displaced fracture is seen ; however , please note that the lower most ribs are not well assessed on this study due to overlying soft tissue . If high clinical concern for rib fracture , consider CT . No large pleural effusion or pneumothorax .
    OUTPUT:
    
No acute cardiopulmonary process . No definite rib fracture is seen , however , please note that the lower right - sided ribs are not optimally evaluated due to overlying soft tissue and if there is high clinical concern for rib fracture , consider CT .