Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size , mediastinal and hilar contours are within normal limits and without change . Focal area of increased opacity overlying the eighth posterior rib , likely represents a healing pathologic rib fracture in this patient with myeloma . Additional more subtle rib lesions are seen throughout and have been documented to greater detail on prior CT . There are no pleural effusions . High - grade compression deformity at the L1 level is similar to recent lumbar spine radiograph of this region on ___ .
    OUTPUT:
    
1 . Focal opacity overlying periphery of right mid lung is likely related to a healing pathologic rib fracture , but additional shallow oblique radiographs may be considered to exclude a focal pneumonia simulating a rib lesion , if warranted clinically . 2 . Extensive myelomatous involvement of imaged skeletal structures , including a high - grade compression deformity at L1 .