Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is mildly enlarged but unchanged . The mediastinal and hilar contours are unremarkable . The lungs are hyperinflated , unchanged . Scarring within the lung apices is again noted . No focal consolidation , pleural effusion or pneumothorax is identified . The pulmonary vascularity is normal . Severe wedge compression deformity of an upper thoracic vertebral body is new when compared to the prior exam from ___ . Mild loss of height of a mid thoracic vertebral body is unchanged . Old right - sided rib fractures are again noted .
    OUTPUT:
    
No acute cardiopulmonary abnormality . New severe compression deformity of an upper thoracic vertebral body compared to ___ .