Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Thoracic scoliosis is noted knee and the patient is rotated somewhat to the left . There are extremely low lung volumes . Right mid to lower lung patchy opacity are seen which could be due to infection or aspiration along with atelectasis . No large pleural effusion is seen although trace pleural effusion would be difficult to exclude . No evidence of pneumothorax is seen . The aorta is calcified and tortuous . Cardiac silhouette is not well assessed but may be top - normal to mildly enlarged .
    OUTPUT:
    
Patient rotated somewhat to the left and there appears to be some thoracic scoliosis . Lung volumes are very low , limiting evaluation , however , there appear to be right mid to lower lung patchy opacities raising concern for infection or aspiration along with atelectasis . No large pleural effusion seen , trace pleural effusion would be difficult to exclude .