Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient upright position . Analysis performed in direct comparison with the next preceding similar study of ___ . Heart size within normal range . Moderate widening and elongation of thoracic aorta as before . No pulmonary vascular congestion , no new parenchymal infiltrates and the pleural spaces remain free . Previously described multiple rib and skeletal spine structures and changes unaltered in this patient with history of multiple myeloma .
    OUTPUT:
    
No evidence of new pulmonary infective process in patient with now having low - grade fever and cough .