Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is rotated and there is an accentuated thoracic kyphosis . Soft tissue of the neck obscures visualization of the right lung apex . Within this limitation , the lungs are grossly clear . Blunting of the left lateral costophrenic angle is likely due to scarring and prominent pericardial fat . Cardiomediastinal silhouette is stable . Old healed left lateral rib fractures are noted . Compression deformities in the thoracic spine are also noted and were seen on prior .
    OUTPUT:
    
Limited exam as detailed above without definite acute cardiopulmonary process .