Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views the chest . The lungs are hyperinflated but clear without focal consolidation , effusion , or pneumothorax . The cardiomediastinal silhouette is within normal limits . Hypertrophic changes are noted in the spine and severe degenerative changes seen at the left shoulder . Surgical clips are identified in the right upper quadrant .
    OUTPUT:
    
No acute cardiopulmonary process .