Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable semi upright view of the chest . There is no focal consolidation , effusion , or pneumothorax . Upper lobe lucency suggests underlying emphysema . The cardiomediastinal silhouette is normal . Imaged osseous structures are intact . Chronic bony deformity at the left mid to distal clavicle is noted .
    OUTPUT:
    
No acute findings .