Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Patient 's rotation limits assessment . Overlying EKG leads are present . The lungs appear hyperinflated which could reflect underlying COPD . There is no large effusion or pneumothorax . No definite signs of pneumonia or overt edema . The heart size appears within normal limits . The mediastinal contour is difficult to assess given rotation though appears well - defined . No acute bony injuries . Bones are diffusely demineralized .
    OUTPUT:
    
Limited , no acute findings .