Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi-upright portable AP view of the chest was provided . Please note , due to marked scoliosis , evaluation is limited . There is a severe rotatory dextroscoliosis of the lower thoracic / lumbar spine . The lungs appear grossly clear bilaterally without large consolidation , effusion , or definite signs of pneumothorax . Heart size can not be assessed . No definite signs of fracture .
    OUTPUT:
    
Severe scoliotic deformity without definite signs of aspiration or fracture .