Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are mildly hyperinflated . There is no pleural effusion , pneumothorax or focal airspace consolidation . Minimal atelectasis is noted in the left lung base . Heart size is normal . The aorta is calcified and mildly ectatic . Blunting of the posterior diaphragmatic sulci is unchanged over multiple prior examinations . The previously seen vague opacity overlying the left first rib ( better appreciated on the CT C - spine of ___ ) is not well appreciated on this study . Severe degenerative changes are noted in the right glenohumeral joint .
    OUTPUT:
    
No acute cardiopulmonary process .