Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours . The left hemidiaphragm is notably elevated of unclear etiology . No gastric bubble evident . Lungs are clear . No pleural effusion or pneumothorax . Multiple mid thoracic vertebral compression deformities present .
    OUTPUT:
    
Elevated left hemidiaphragm of unclear etiology . Given site of patient 's pain is left upper quadrant , recommend evaluation with cross - sectional ( CT / US ) imaging . Lungs are clear .