IMAGE: Xray Chest PA and Lateral COMPARISON: XXXX, vomiting, blood FINDINGS: No there is an dextroscoliosis of the thoracic spine. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. IMPRESSION: No acute cardiopulmonary abnormality.