Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart again appears mildly enlarged . There is a prominent epicardial fat pad and areas of vague low - attenuation pleural thickening along the right lateral chest wall reflecting areas of intrapleural fat . However , there is no convincing indication of any substantial pleural effusion . There is no pneumothorax . There is again an eventration of the anterior right hemidiaphragm . The lungs appear clear . The bones appear demineralized . Moderate degenerative changes affect each glenohumeral joint .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .