Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild pulmonary vascular engorgement is present ; however , there is no frank pulmonary edema . There is an ill - defined opacity in the right paracardiac region with indistinct right heart margin which may represent atelectasis or aspiration or pneumonia . It s significance should be interpreted along with clinical history . Right - sided pleural effusion is small . Heart size is top normal and unchanged since ___ . Old healed rib fractures are present bilaterally . T8 , T12 and the L2 vertebral bodies demonstrated wedge compression fracture , most severely affecting the T12 and L1 vertebrae . In addition , the T12 and L2 vertebrae show increased density . These vertebral changes are new since ___ . In view of multiple vertebral collapse and diffuse osteopenia , possibility of metastatic disease can not be ruled out .
    OUTPUT:
    
1 . Right lower medial lung opacity could be atelectasis / aspiration or pneumonia ; further clinical correlation is needed . 2 . Small right pleural effusion is small . 2 . Diffuse osteopenia and wedge compression fracture of T8 , T12 and L2 vertebrae is new since ___ . Possibility of metastatic disease can not be ruled out . Dr . ___ discussed the findings with Dr . ___ by phone on ___ , at 3 :23 p .m .