Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are clear of confluent consolidation , large effusion , or edema . The cardiomediastinal silhouette is stable with tortuosity of the descending thoracic aorta accentuated by patient rotation to the right . Degenerative changes noted at the shoulders .
    OUTPUT:
    
No acute cardiopulmonary process .