Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A VP shunt projects over the mediastinum and upper abdomen . Of note , a radiolucent portion of the VP shunt projects over the right neck . Heart size is normal . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . Lungs are clear . No pleural effusion or pneumothorax is seen .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Of note , chest radiographs are not sensitive for the detection of acute rib fractures .