Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The temporary pacemaker wire has been removed . There is no pneumothorax . A right apical density could be an elongated calcified right brachiocephalic trunk , more prominently seen due to positioning . There is no focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . The cardiomediastinal silhouette is within normal limits . The aorta is tortuous . There has been a total shoulder arthroplasty of the left , and severe degenerative changes are noted at the right glenohumeral joint .
    OUTPUT:
    
1 . No pneumothorax . 2 . No evidence of acute cardiopulmonary process .