Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are within normal limits . Lungs are well expanded and clear . There is no focal consolidation , pleural effusion or pneumothorax . There is a wedge deformity of a midthoracic vertebral body seen on the lateral view . Increased density in the anterior aspect of the fourth left rib likely relates to known myeloma . Additional known diffuse lytic lesions are difficult to fully appreciate on this examination .
    OUTPUT:
    
No acute cardiopulmonary process .