Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation , large effusion or pulmonary edema . Mild cardiomegaly is similar when compared to recent prior . Hypertrophic changes are noted in the spine and degenerative changes at the shoulders .
    OUTPUT:
    
Mild cardiomegaly , similar when compared to prior . No superimposed acute cardiopulmonary process .