Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . The lungs are hyperinflated but clear of consolidation or effusion . There is no pulmonary vascular congestion . The cardiac silhouette is moderately enlarged , likely progressed since prior . Tortuous descending thoracic aorta is noted . Chronic deformities seen involving the glenohumeral joints bilaterally , more significantly on the right where there has been resorption on both sides of the joint and possible dislocation . This has appearance of neuropathic joints .
    OUTPUT:
    
Moderate cardiomegaly without evidence of congestive failure . Severe changes of the shoulders bilaterally with a configuration raising possibility of neuropathic joints , which in the shoulders can be due to a hydrosyringomyelia .