Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no pneumothorax . Tiny bilateral pleural effusions are seen . The cardiac silhouette is top normal in size but unchanged from prior . There is no focal airspace consolidation to suggest pneumonia . Calcifications are seen within the aortic arch . Otherwise , the mediastinal contour is normal . Degenerative changes of the right glenohumeral joint are incompletely evaluated .
    OUTPUT:
    
No acute process .