no acute pulmonary process is identified. focal densities along the left chest wall are most suggestive of old healed rib fractures. if there is no no history to account for this, then dedicated left rib radiographs would be recommended. the scapulae are within normal limits on these chest radiographs. if there is specific concern for scapular fracture, then dedicated scapular radiographs would be recommended. slight superior endplate scalloping of <num> of the mid thoracic vertebral bodies, question t<num> is noted, but does not appear acute. again, clinical correlation is requested. recommendation(s): if there is no history of left-sided rib fractures, then dedicated left rib radiographs would be recommended. if clinical suspicion for scapular fracture remains high, then dedicated scapular radiographs would be recommended.