Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . The mediastinal and hilar contours appear within normal limits . There is no pleural effusion or pneumothorax . The lungs appear clear . Moderate - to - severe rightward convex curvature is centered along the mid thoracic spine including left - sided wedging among several mid thoracic vertebral bodies , although not fully characterized . This appearance is unlikely to reflect recent trauma , however , and may be secondary to long - standing scoliosis or congenital vertebral body anomalies . There is no evidence for recent fracture , dislocation , or bone destruction .
    OUTPUT:
    
Moderate - to - severe scoliosis . No evidence for recent injury or acute cardiopulmonary disease .