Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Prior small bilateral pleural effusions have since resolved . The lungs are clear of consolidation or pulmonary vascular congestion . The cardiomediastinal silhouette is stable . Left chest wall dual lead pacing device is unchanged . Degenerative changes seen at the shoulders bilaterally .
    OUTPUT:
    
No acute cardiopulmonary process .