Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe kyphoscoliosis deformity is again noted . There is atelectasis at the right lung base . Left lower lobe opacity with partial obscuration of the left hemidiaphragm may reflect atelectasis , although aspiration or pneumonia is also possible . The aorta remains tortuous . There is central vascular congestion . No pneumothorax is identified .
    OUTPUT:
    
1 . Pulmonary vascular congestion . 2 . Nonspecific left lower lobe opacity which may reflect atelectasis , aspiration , or an early focus of pneumonia . 3 . No acute bony fracture identified . Dedicated rib films may be considered given the low sensitivity of conventional radiographs .