Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Consecutive lateral left fifth through at least eighth rib fractures are again seen . Adjacent hematoma is likely unchanged . Small left pleural effusion and left basilar atelectasis are unchanged . No pneumothorax . Heart size is top - normal . Cardiomediastinal and hilar silhouettes are unremarkable .
    OUTPUT:
    
Unchanged left rib fractures and adjacent hematoma .