Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral radiographs were obtained . The lungs are well expanded . There is minimal atelectasis at the right base . There is no consolidation , effusion , or pneumothorax . Mild cardiomegaly is unchanged . Dual lead pacing leads project over unchanged positions . Upper lumbar spine fusion hardware is intact with severe degenerative changes seen in the imaged thoracolumbar spine . Rib fractures of the posterior ___ and 6th ribs are old and show evidence of healing . There is no displaced rib fracture . Severe bilateral glenohumeral degenerative changes are present .
    OUTPUT:
    
No acute cardiopulmonary process .