Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Broad levoconvex curvature of the thoracic spine , possibly secondary to positioning . Heart size within normal . Mediastinal widening , secondary to known lymphadenopathy . No focal consolidation . No vascular congestion . There is a question of small right apical pneumothorax .
    OUTPUT:
    
Question of small right apical pneumothorax , indeterminate on the current portable study . Recommend AP and lateral chest radiograph for further evaluation .