Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are clear . There is no focal consolidation , effusion or pneumothorax . Mediastinal and hilar contours are normal . Moderate cardiomegaly is unchanged . Moderate - to - severe compression fracture in the lower thoracic spine is worse .
    OUTPUT:
    
1 . No acute intrathoracic process . 2 . Moderate - to - severe compression fracture in the lower thoracic spine has worsened . 3 . Stable moderate cardiomegaly .