Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable frontal chest radiograph demonstrates severe S - shaped thoracolumbar scoliosis with a tortuous aorta . Cardiomediastinal and hilar contours are otherwise unremarkable . Lungs are somewhat hyperexpanded with evidence of chronic changes in the lung apices , left greater than right . Otherwise , lungs are clear . No pleural effusion or pneumothorax identified . No fractures identified including no displaced rib fractures . Bones are severely osteopenic .
    OUTPUT:
    
No acute cardiopulmonary process . No fracture is identified .