Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is top - normal in size . There is no large pleural effusion . Left sided pleural effusion versus pleural thickening unchanged . There is no pneumothorax . There is no focal lung consolidation . The lungs are hyperinflated The thoracic aorta is tortuous . Median sternotomy wires and mediastinal clips are present . A VP shunt is present .
    OUTPUT:
    
No evidence of pneumonia . No significant interval change in the appearance of the chest .