Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is present . The aorta is tortuous and calcified . Lungs are clear . There are no pleural effusions or pneumothorax . Cholecystectomy clips are noted in the upper abdomen . There are multilevel degenerative changes in the thoracic spine , with compression deformities in multiple lower thoracic vertebrae , resulting in near - complete loss of height . Marked deformity of the left glenohumeral joint , with irregular sclerosis suggesting remote trauma .
    OUTPUT:
    
Moderate cardiomegaly . No acute cardiopulmonary process .