Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable . Anterior wedging deformity of an upper lumbar vertebral body is of indeterminate age .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Difficult to evaluate the sternum due to patient positioning . If clinically indicated , dedicated sternal radiograph is recommended . 3 . Wedge compression deformity in upper lumbar spine of indeterminate age in the absence of older radiographs for comparison .