Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained demonstrating clear well - expanded lungs without focal consolidation , effusion , or pneumothorax . Nipple shadows project over the left and right lower lungs . Cardiomediastinal silhouette appear normal . There is slight widening of the AP diameter of the chest with upper lobe lucency , which could reflect underlying emphysema . There is a compression deformity in the upper thoracic spine seen on lateral view , which is new from prior exam . Otherwise , bones are intact .
    OUTPUT:
    
Emphysema without definite signs of pneumonia . Upper thoracic mild compression fracture , new from prior .