Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . Mediastinal and hilar contours are unremarkable . Pulmonary vasculature is normal . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . Multilevel degenerative changes are again noted in the thoracic spine . VP shunt catheter is seen within the right anterior chest wall .
    OUTPUT:
    
No acute cardiopulmonary process seen .