Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . There is left basilar atelectasis versus scarring . The heart is moderately enlarged . There is no convincing sign of pneumonia or CHF . The mediastinal contour stable . No pneumothorax . Severe kyphotic angulation of the thoracic spine with a rugger ___ appearance suggests renal osteodystrophy . Clips are noted in the right upper quadrant .
    OUTPUT:
    
1 . Cardiomegaly with left basilar atelectasis versus scarring . 2 . Severe thoracic kyphosis with rugger ___ spine reflecting renal osteodystrophy .