Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal silhouette is unchanged . The heart is not enlarged . Chronic elevation of the left hemidiaphragm is again noted . There is no focal consolidation , pulmonary edema , pleural effusion , or pneumothorax . Right shoulder arthroplasty is again noted . Severe kyphosis with a chronic compression deformity lower thoracic spine again noted and not significantly changed compared to prior study from ___ . Postsurgical clips are again noted in the right upper abdomen possibly secondary to cholecystectomy .
    OUTPUT:
    
1 . Previously seen opacity along the right heart border is not seen on the current study . 2 . Chronic elevation of the left hemidiaphragm .