Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lateral view is slightly suboptimal due the patient 's overlying arm . Right - sided VP shunt is re - demonstrated , inferior aspect not well seen due to underpenetration of the upper abdomen . Prominence of the right hilum is stable . The aorta is calcified and tortuous . Cardiac silhouette is top - normal in size to mildly enlarged , likely accentuated by AP technique . Persistent mild right pleural thickening with associated subtle deformity of lateral right - sided rib ( s ) , may relate to prior trauma . Chronic left rib deformities also re - demonstrated . No pleural effusion or pneumothorax is seen . No definite focal consolidation is seen .
    OUTPUT:
    
No definite acute cardiopulmonary process .