Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no consolidation , pleural effusion , or pneumothorax . Lungs are mildly hyperinflated . Cardiac silhouette is borderline enlarged and unchanged from prior . Mediastinal and hilar silhouettes are normal size . Degenerative changes of the thoracic spine is noted at multiple levels . There is new anterior compression deformity of T11 vertebral body compared to prior .
    OUTPUT:
    
There is new anterior compression deformity of T11 vertebral body since ___ . No discrete underlying mass is identified . Please consider CT for further evaluation of the bone findings as well as possible occult lung pathology .