Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is normal . The mediastinal and hilar contours are unchanged with mild unfolding of thoracic aorta which is diffusely calcified . Fullness of the right hilum is stable . The pulmonary vascularity is not engorged . No focal consolidation , pleural effusion or pneumothorax is seen . There are old left - sided rib fractures again noted . A VP shunt catheter is visualized coursing within the right anterior chest wall and into the upper abdomen . Degenerative changes of the left glenohumeral joint are present with subchondral sclerosis of the left humeral head .
    OUTPUT:
    
No acute cardiopulmonary abnormality .