Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , pleural effusion or pneumothorax identified . The size of the cardiac silhouette is mildly enlarged . A suboptimal evaluation for an acute displaced rib fracture . Degenerative changes of the right acromioclavicular joint .
    OUTPUT:
    
No radiographic evidence of acute cardiopulmonary disease . If there is ongoing clinical concern for an acute rib fracture , dedicated rib radiographs could be considered .