Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient severely kyphotic . Re - demonstrated S - shaped scoliosis of thoracic . Multilevel vertebral body height loss noted . Lung volumes are low . This exacerbates bilateral infrahilar vascular crowding . No definite focal consolidation is identified . A small left pleural effusion may be present . There is no pneumothorax .
    OUTPUT:
    
Possible , small left pleural effusion . No focal consolidation identified .