Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral chest radiograph demonstrates a patient rotated to her left . A small hiatal hernia is noted . Lung fields are hyper - expanded with flattening of bilateral hemidiaphragms consistent with emphysema . There is no pleural effusion or pneumothorax identified . A rib fracture of indeterminate age within the posterior aspect of the left tenth rib is noted , probably healed . Several sclerotic vertebral bodies are noted concerning for malignancy , particularly treated or alternatively lymphoma . Surgical clips are seen projecting along the right lateral chest wall .
    OUTPUT:
    
1 . Left posterior tenth rib fracture of indeterminate age , probably healed . Several sclerotic vertebral bodies within the thoracic spine concerning for malignancy . 2 . Hyperinflated lunges and flattening of bilateral hemidiaphragms compatible with emphysema .