Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar and mediastinal contours are normal . There is a small amount of right - sided atelectasis . Otherwise , the lungs are clear . No focal consolidation , pneumothorax or pleural effusions are seen . Incidental note is made of unilateral degenerative changes in the mid-thoracic spine across two or three vertebral bodies , with osteophytes extending off the left vertebral border . The visualized portion of the VP shunt does not demonstrate any kinking .
    OUTPUT:
    
No acute intrathoracic abnormalities identified . Specifically , no evidence of any granulomatous lesions .