Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A new , minimally displaced , pathologic right posterior seventh rib fracture is noted , as well as a new minimally displaced sternal fracture . Several compression deformities of lower thoracic vertebral bodies are noted , likely chronic . There is a small to moderate left pleural effusion . Numerous ill - defined opacities likely represent metastatic disease , the extent of which would be better evaluated by chest CT . There is no pulmonary edema , focal consolidation , or pneumothorax . The heart is top normal in size .
    OUTPUT:
    
1 . New fractures of the right seventh rib and sternum . 2 . Small to moderate left pleural effusion . 3 . Numerous ill - defined opacities are likely metastases , and would be better evaluated by chest CT if clinically indicated .