Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are clear without focal consolidation , effusion , or pneumothorax . Cardiomegaly is similar compared to prior . Tortuosity of the thoracic aorta is noted . Severe degenerative changes noted at the right glenohumeral joint noting an intra-articular body just inferior to the coracoid process . Left shoulder arthroplasty changes are seen on the lateral view .
    OUTPUT:
    
No acute cardiopulmonary process .