Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . A severe dextroscoliosis of the thoracic spine is again seen . There is a stable appearance of blunting at the left costophrenic angle which could represent a pleural effusion versus pleural thickening . The lungs appear otherwise clear though hyperinflated . Overall cardiomediastinal silhouette is stable . No pneumothorax . Bony structures appear grossly intact .
    OUTPUT:
    
No acute findings . Stable blunting of the left CP angle on the frontal projection which given chronicity of this finding is more compatible with pleural thickening / scarring at this site . Consider CT to further assess .