Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Comparison is made with the next preceding similar study of ___ . The heart size remains within normal limits . Thoracic aorta unremarkable . No new pulmonary parenchymal infiltrates are identified . Similar as on the preceding examination one can identify an old rib fracture with callus formation in the right hemithorax located in the anterolateral portion of the fifth rib . Comparison demonstrates that there is a local pleural thickening along the right lateral chest wall involving either the fifth rib more proximally or perhaps the fourth rib . These changes are not surprising in this patient with history of multiple myeloma and may represent rib abnormalities related to this condition . Otherwise , no gross skeletal abnormalities are identified short of some degenerative changes in the thoracic spine but no evidence of vertebral body compression .
    OUTPUT:
    
No evidence of cardiac enlargement , pulmonary congestion or new acute pulmonary infiltrates in this patient with history of multiple myeloma .