Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . No focal consolidation is identified . Mild bronchial wall thickening may reflect reactive airways disease . Mild blunting of the right costophrenic angle may represent pleural thickening or a small pleural effusion . There is no pneumothorax or pulmonary edema . The heart size is top normal . Patient has had prior right shoulder replacement . Degenerative changes are also seen in the left shoulder .
    OUTPUT:
    
Mild bronchial wall thickening may reflect reactive airways disease . No focal consolidation identified .