Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation or superimposed edema is noted . There is a markedly tortuous aorta similar to the prior exam . The cardiac silhouette size is top normal . There is likely a tiny right pleural effusion . This likely was present on the prior exam . Grossly this could represent mild scarring . No pneumothorax is evident . A stable anterior wedging deformity from prior superior endplate compression fracture is seen in the lower thoracic spine . Otherwise , the osseous structures are unremarkable .
    OUTPUT:
    
Relatively stable exam with no acute process identified . There is hypertensive cardiomediastinal configuration . There is a stable compression fracture involving the lower thoracic vertebral body . Question possible small underlying right pleural effusion versus scarring .