Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . There is no definite confluent consolidation . The left costophrenic angle is not well seen laterally potentially due to enlarged cardiac silhouette and overlying soft tissues . There is no evidence of an effusion based on the lateral view . Coronary artery stents are noted . Moderate cardiomegaly is seen . Bones are diffusely osteopenic without . The posteroir aspect of the ___-8th ribs are not seen , not thought to be due to technical factiors , as the more superior and inferior ribs are seen ,
    OUTPUT:
    
Several contiguous posterior left ribs not seen raising possibility of destructive process - please correlate with any prior surgical history . If none , CT scan is advised . Cardiomegaly without definite superimposed acute cardiopulmonary process . Discussed with Dr . ___ . Patient has history of prior rib resection .