Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Clips are again seen within the left axilla . Lungs are clear . There is no pneumothorax or focal airspace consolidation worrisome for pneumonia . Streaky opacities at the right lung base are likely atelectasis . Blunting of the right costophrenic angle is unchanged and may reflect a small pleural effusion . The heart is mildly enlarged . The mediastinal and hilar structures are unremarkable . The aorta is tortuous and calcified . A marked S - shaped scoliosis of the thoracic spine is unchanged . Degenerative changes of the shoulders are seen bilaterally . Ossified loose bodies are again seen on within the right glenohumeral joint .
    OUTPUT:
    
Blunting of the right costophrenic angle is unchanged and may reflect a small pleural effusion . Otherwise , no acute cardiopulmonary process .