Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar and mediastinal contours are normal . The lungs are clear without evidence of focal consolidations concerning for pneumonia . There is no pleural effusion or pneumothorax . Note is made of a radiopaque ring in the right abdomen , which has been there since at least the radiograph from ___ . Anterior wedging of a mid thoracic vertebral body is again noted without change , since at least the exam from ___ . Note is made of a fractured fragment adjacent to the inferior region of the body of the sternum , new since the exam from ___ .
    OUTPUT:
    
No acute intrathoracic abnormalities identified . Fractured ossific fragment adjacent to the inferior region of the body of the sternum , new since the exam from ___ . ___ were d / w Dr . ___ by Dr . ___ by telephone at 3p on the day of the exam . On attending review , the calcification projecting behind the sternum on the lateral view is most compatible with calcified costrochondral cartilage which was seen projecting over the sternum on prior and not thought to be a fracture .