Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . The lungs are clear of consolidation , effusion , or significant pulmonary vascular congestion . The cardiomediastinal silhouette is within normal limits . Severe degenerative changes are partially visualized at the left glenohumeral joint . Atherosclerotic calcifications seen at the arch . Hypertrophic changes noted in the spine .
    OUTPUT:
    
No definite acute cardiopulmonary process .