Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . There is no evidence of pneumonia , pneumothorax , or pleural effusion . Cardiac silhouette is normal in size . Mitral annular calcifications are noted . In the interim since the prior study appears that the patient has had a right - sided orthopedic shoulder surgery .
    OUTPUT:
    
No evidence of acute cardiopulmonary process .