Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Supine portable AP view of the chest provided . Evaluation limited due to severe dextroscoliotic deformity and kyphotic angulation of the chest . Allowing for this , no definite signs of pneumonia or overt CHF . No large effusion or pneumothorax is seen . Overall , cardiomediastinal silhouette appears essentially stable .
    OUTPUT:
    
Limited , negative .