Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right PICC is again seen although tip is not clearly delineated on today 's exam . The lungs remain clear of consolidation , effusion , or pulmonary edema . The cardiomediastinal silhouette is normal . Atherosclerotic calcifications are noted at the arch . Degenerative changes noted at the acromioclavicular joints and there are hypertrophic changes in the spine .
    OUTPUT:
    
No acute cardiopulmonary process .