Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hyperexpansion and elevation of the left hemidiaphragm are unchanged from prior studies . A left pectoral pacemaker and its leads project in unchanged location . There is no focal consolidation , pleural effusion , pulmonary edema , or pneumothorax . The cardiomediastinal silhouette is stable . Multiple with thoracic compression fractures are noted with radiodensity in the upper lumbar spine consistent with prior vertebroplasty .
    OUTPUT:
    
No acute cardiopulmonary process .