Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear . Hila and cardiomediastinal contours and pleural surfaces are normal . Right clavicular lytic foci are unchanged . Although suboptimal to assess for myeloma , subtle lucencies in the vertebral bodies and posterior ribs suggest the possibility of additional lesions .
    OUTPUT:
    
1 . No acute cardiopulmonary abnormality . 2 . Unchanged right clavicular lytic foci and possible additional lytic foci in the ribs and spine consistent with known myeloma . If clinical concern for additional lesions , correlation with skeletal series could further evaluate .