Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , pleural effusion , or pulmonary edema is seen . There is possibly a left pneumothorax . There is severe dextroconvex thoracic scoliosis . The aorta is calcified and tortuous . Heart size is likely within normal limits , although suboptimally evaluated in the setting of scoliosis . Mitral annular calcifications noted .
    OUTPUT:
    
Possible left pneumothorax , less likely skin fold . Right lateral decubitus or expiratory chest radiograph could be performed to confirm this finding . These findings and recommendations were discussed with ___ by ___ by telephone at 3 :05 p .m . on ___ at the time of discovery of these findings .