Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are grossly clear without consolidation , effusion , or congestion . The cardiomediastinal silhouette is stable . Moderate hiatal hernia is again noted . Degenerative changes noted at the left shoulder . No acute osseous abnormalities detected . Surgical clips project over the upper abdomen .
    OUTPUT:
    
No acute cardiopulmonary process .