Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . The lungs are grossly clear . No large effusion or pneumothorax . The heart remains stably enlarged . The mediastinal contour is unchanged with aortic calcification again noted . Multiple chronic rib deformities noted . There is chronic left shoulder dislocation and severe right shoulder osteoarthritis . No acute fracture is identified .
    OUTPUT:
    
No acute findings .