Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The mediastinal and hilar contours are unremarkable . The pulmonary vascularity is normal . No focal consolidation , pleural effusion or pneumothorax is identified . Left ___ and ___ lateral rib fractures are noted . Other known fractures involving the left - sided ribs are not clearly delineated on the current exam . Old right tenth rib fracture is redemonstrated . Multilevel degenerative changes are seen in the thoracic spine .
    OUTPUT:
    
Fractures of the left lateral ___ and 10th ribs . Other known left - sided fractures are not clearly delineated on this current exam . A dedicated rib series can be obtained for further evaluation . No acute cardiopulmonary abnormality .