Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart appears mildly enlarged . There is mild unfolding of the thoracic aorta . The upper mediastinum is widened , particularly to the right of midline along the right paratracheal stripe , new since the remote prior study . There is moderate elevation of the left hemidiaphragm . The lungs appear clear aside from a calcified nodular focus projecting over the left lung base , which is unchanged and suggestive of a granuloma . There is no definite pleural effusion or pneumothorax . The bones appear demineralized . In addition to a moderate - to - severe thoracolumbar compression deformity that was already present on the remote prior examination , there is a new moderate superior endplate compression deformity in the immediately superior vertebral body , although not necessarily recent . There is also probably a chronic mild superior endplate compression deformity along the mid thoracic vertebral body .
    OUTPUT:
    
No definite evidence for acute cardiopulmonary disease or injury . However , there is new lobular widening of the mediastinum . The uppermost part of the mediastinum is visible on a CT of the cervical spine from earlier on the same day , suggesting that this appearance may be due to mediastinal fat and tortuosity of great vessels , but widening is new . Evaluation with chest CT is recommended in follow - up to exclude etiologies such as aneursym or lymphadenopathy , however .