Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lateral view is severely limited secondary to motion artifact . Opacification of the left lower lung and blunting of the left costophrenic angle may reflect a combination of pleural effusion , edema , and atelectasis ; however are underlying superinfection can not be excluded depending on the clinical scenario . The remaining lungs , other than mild atelectasis in the right lung base is overall unchanged . Pulmonary vascular congestion is overall unchanged . Mild cardiomegaly is again noted . Extensive calcifications of the thoracic aorta is similar the prior exam . Bilateral apical pleural thickening is unchanged . There is mild atelectasis in the right lung base as well . No pneumothorax . Surgical clips projecting over the midline neck are unchanged . Cortical irregularity of the lateral left ___ and perhaps 7th ribs , concerning for fracture in the setting of trauma . Anterior compression fracture with wedging of a mid thoracic vertebral body appears slightly worse from the prior exam , although difficult to be certain given the poor lateral view .
    OUTPUT:
    
1 . No pneumothorax . 2 . Left lower lung opacity is of difficult to evaluate , possibly oblique reflecting a combination of effusion , atelectasis , and / or superimposed pneumonia - a repeat lateral radiograph view could be performed to further evaluate . 3 . Possible left sixth and seventh lateral rib fractures . Correlate with clinical assessment . Dedicated rib radiograph is recommended if there is concern of a rib fracture . 4 . Midthoracic vertebral body compression fracture appears somewhat worse from the prior exam .