Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is chronic elevation of the right hemidiaphragm . The lungs are clear without consolidation , effusion , or edema . Cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities identified . Degenerative changes noted at the shoulders bilaterally .
    OUTPUT:
    
No acute cardiopulmonary process .