Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . The lungs are hyperinflated but clear of consolidation or effusion or pulmonary vascular congestion . Note is made of an azygos fissure . The cardiomediastinal silhouette is within normal limits . Severe degenerative changes seen at the glenohumeral joints bilaterally . Cervical fixation hardware seen . Prior left PICC is no longer visualized .
    OUTPUT:
    
No acute cardiopulmonary process .