Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph obtained . Exam is limited due to poor patient positioning . Underpenetrated technique also limits the evaluation . Allowing for this , there is no significant interval change with no definite signs of acute consolidation or large pneumothorax / effusion . Please note the left lung base is poorly assessed . Bony structures appear grossly intact .
    OUTPUT:
    
Limited , no acute findings . If there is strong clinical concern , a repeat with dedicated PA and lateral views of the chest may be obtained to further assess .