Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours appear unchanged . The lungs appear clear . There is probably a very small pleural effusion along the left , noting new blunting of the left frontal sulcus on the PA view . There is exaggerated kyphosis associated with a moderate anterior wedge compression deformity along the mid thoracic vertebral body , not significantly changed . The bones also appear demineralized , with multilevel compression deformities along the mid - to - lower thoracic spine , again not significantly changed .
    OUTPUT:
    
Suspected trace left - sided pleural effusion ; otherwise no significant change .