Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is elevation of the right hemidiaphragm . The lungs are clear without focal consolidation or effusion . The cardiomediastinal silhouette is within normal limits . Old healed left posterior rib fractures are identified . Vertebroplasty changes are noted in the lower lumbar spine .
    OUTPUT:
    
Elevated right hemidiaphragm , no prior available for evaluation of chronicity . Otherwise , unremarkable chest x-ray .