Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated but clear of consolidation or effusion . Moderate cardiomegaly is again noted . Slightly tortuous descending thoracic aorta is also noted . Chronic appearing degenerative changes seen centered at the left shoulder .
    OUTPUT:
    
Hyperinflation and cardiomegaly without acute cardiopulmonary process .