Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest are compared to previous exam from ___ . The lungs are clear of consolidation , effusion or pneumothorax . Cardiomediastinal silhouette is stable . Severe degenerative change is seen at the shoulders bilaterally . Old right rib fracture is seen . There is no evidence of acute fracture .
    OUTPUT:
    
No acute cardiopulmonary process .