Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Markedly rotating positioning . There are posterior rods and screws overlying the cervical spine with overlying skin ___ , not fully evaluated . A Dobbhoff - type tube is present , with the radiopaque portion of the tube overlying the left mid abdomen , not clearly extending beyond the pylorus . Increased density in the right paratracheal thoracic inlet most likely represents the known vertebral fusion construct , distorted by patient obliquity . Allowing for markedly rotated positioning , no overt CHF , frank consolidation , or gross effusion is detected . Possibility of some bibasilar atelectasis can not be excluded . An old healed fracture of a left posterior mid chest rib is noted . Review of the ___ lateral views suggests deformity of the manubrium , raising the question of a fracture of indeterminate acuity . Assessment of the thoracic spine is quite limited on these views -- prior films show a gibbous type focally accentuated kyphosis .
    OUTPUT:
    
1 ) Limited exam , but doubt overt CHF , frank consolidation or gross effusion . Please note that subtle infiltrate might not be apparent on these views and that the mediastinum is poorly evaluated . 2 ) Fractures of the thoracic spine and manubrium not directly visualized on this exam , but suggested on correlative studies .