Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest show multiple left - sided rib fractures , which are not appreciably changed from preceding chest radiograph . Dedicated rib views are recommended for further evaluation . A wedge compression fracture deformity at the mid thoracic spine is of unknown age . The patient is notably scoliotic and kyphotic . The irregularity of the right humeral head is unchanged from CT of ___ and likely related to prior trauma . Small bilateral pleural effusions on the left greater than the right are increased from the preceding radiograph with associated atelectasis . A persistent small left apical pneumothorax is decreased in size from ___ . The cardiomediastinal silhouette is overall unchanged , but incompletely assessed at the left heart border . The aortic knob and descending thoracic aorta are moderately calcified .
    OUTPUT:
    
1 . Multiple left - sided rib fractures are not appreciably changed . Dedicated rib views are recommended for detailed evaluation . 2 . Slightly increased small bilateral pleural effusions on the left greater than the right from ___ . 3 . Decreased size of persistent small left apical pneumothorax