Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear where not obscured by overlying cardiac leads and wires . There is no effusion , pneumothorax or pulmonary vascular congestion . Cardiomegaly is unchanged . Enlargement of the hila compatible with pulmonary artery enlargement suggesting pulmonary hypertension . Degenerative changes are seen at the shoulders bilaterally . No acute osseous abnormality detected .
    OUTPUT:
    
Cardiomegaly and enlarged pulmonary arteries compatible with pulmonary hypertension . No definite acute cardiopulmonary process .