Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . No prior . The lungs are clear of consolidation , effusion , or pneumothorax . Cardiomediastinal silhouette is within normal limits . Hypertrophic changes are seen in the spine . Severe degenerative changes noted at the left shoulder with rounded calcific densities projecting over the scapula , potentially intra-articular bodies .
    OUTPUT:
    
No definite acute cardiopulmonary process .