Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mildly enlarged . The mediastinal silhouette is unremarkable . There is no focal consolidation or pulmonary edema . There is no pleural effusion or pneumothorax . Moderate kyphosis and chronic degenerative changes of the thoracic spine again noted . Spinal fusion hardware is noted in the upper lumbar spine . Chronic degenerative changes of bilateral shoulders is again noted .
    OUTPUT:
    
No acute cardiopulmonary process .