Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since prior there has been improvement of previously seen pulmonary vascular congestion . Multiple support tubes and lines and prior are no longer visualized . Lung volumes are low . There is no effusion or consolidation . The cardiomediastinal silhouette is within normal limits . Degenerative changes seen at the shoulders bilaterally .
    OUTPUT:
    
No acute cardiopulmonary process .