Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated and bending to the right , severely distorting the thoracic cage and appearance of mediastinal structures . Visualized portions of the lungs are essentially clear other than lower lobe platelike atelectasis and are scarring bilaterally , similar to prior exam . The heart size appears normal . Thoracic aortic calcifications are unchanged . No pneumothorax or pleural effusion . No evidence of an acute osseous abnormality .
    OUTPUT:
    
The patient is rotated and bending to the right , severely distorting the thoracic cage . Within this limitation , no evidence to suggest focal pneumonia .