Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest were acquired . Multiple EKG leads project over the chest wall on both radiographs . A ventriculoperitoneal shunt courses along the right cervical and thoracic region , extending out of the field of view inferiorly . The lungs are clear . The heart size is normal . The mediastinal contours are normal . There are no pleural effusions . No pneumothorax is seen . Multiple old right - sided rib fractures are redemonstrated . A severe compression deformity of a mid thoracic vertebral body is not significantly changed .
    OUTPUT:
    
No acute cardiac or pulmonary process .