Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion , or pneumothorax . Cardiomediastinal silhouette is normal . Multiple rib deformities consistent with the patient 's known history of multiple myeloma are little changed from ___ .
    OUTPUT:
    
No acute cardiopulmonary process . Findings were discussed with Dr . ___ .