Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size within normal limits . Mediastinal and hilar contours unremarkable . No evidence for pulmonary edema , pulmonary consolidation , pleural effusion , or pneumothorax . Severe bilateral glenohumeral osteoarthritis . Degenerative changes in the thoracic spine .
    OUTPUT:
    
No evidence for active cardiopulmonary disease .