Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are grossly clear . There is no confluent consolidation , large effusion or visualized pneumothorax . The cardiomediastinal silhouette is within normal limits . Degenerative changes are seen at the shoulders , more so on the right . No free air seen below the diaphragm .
    OUTPUT:
    
No acute cardiopulmonary process .