Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided vagal nerve stimulator device is noted with lead coursing cephalad into the neck , and the tip appears to be coiled within the left aspect of the lower neck . A right - sided VP shunt catheter is present with the tip terminating in the right upper quadrant of the abdomen . The cardiac silhouette size is normal . The aorta is tortuous . Lung volumes are low with streaky opacities at the lung bases likely reflective of atelectasis . No pleural effusion or pneumothorax is seen . There is crowding of the bronchovascular structures . No acute osseous abnormalities present .
    OUTPUT:
    
1 . Left - sided vagal nerve stimulator device is new , with lead appearing to terminate in the left lower neck . 2 . Low lung volumes with streaky opacities at the lung bases likely reflective of atelectasis .