Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal view was obtained . Lateral view was attempted ; however , due to the patient 's overlying arm , other external artifact , the lateral view is nearly non-diagnostic . A radiology technologist info states " unable to obtain lateral view . " The midline tracheostomy tube is again seen . A left - sided VP shunt is seen coursing over the left hemithorax . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . The cardiac and mediastinal silhouettes are stable and unremarkable . There has been interval removal of a right - sided PICC .
    OUTPUT:
    
No acute cardiopulmonary process .