Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The previously seen right apical lucency is not apparent on the current study . Left lower lobe collapse and right basilar atelectasis are increased on the prior exam . Pneumoperitoneum is newly noted and correlates with recent placement of a ventriculoperitoneal shunt . Tracheostomy tube terminates in appropriate position . A left internal jugular catheter tip is seen in the upper SVC . Dual - lead pacing leads are unchanged in position and mitral valve ring is normal position . A Dobbhoff tube is in the stomach .
    OUTPUT:
    
1 . No pneumothorax . Increased left lower lobe collapse and right basilar atelectasis . 2 . Pneumoperitoneum consistent with recent VP shunt placement . Findings discussed with Dr ___ ___ phone at approxiamately 11 :15 on ___ .