Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest ___ at 16 :51 are submitted .
    OUTPUT:
    
Surgical clips at the left apex are again seen . Overall cardiac and mediastinal contours are unchanged . Lungs appear well inflated without evidence of focal airspace consolidation , pleural effusions , pneumothorax or pulmonary edema . An oval opacity overlying right seventh posterolateral rib corresponds to a sclerotic rib lesion when correlated with the chest CT dated ___ . Severe degenerative changes of the glenohumeral joints , right greater than left , are incompletely visualized .