no definite focal consolidation is seen. there may be pleural thickening at the medial right upper lung, correlate with prior chest ct imaging. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. the aorta is tortuous. multi-level degenerative changes and diffuse osteopenia along the spine. there may be moderate compression of a mid thoracic vertebral body, not well assessed on this study. patient has reported bone metastases, better assessed on cross-sectional imaging.