Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are compared to previous exam from ___ . Lungs are clear of focal consolidation , effusion , or pneumothorax . Cardiomediastinal silhouette is within normal limits . Posterior spinal fixation hardware is again noted . Osseous and soft tissue structures are otherwise unremarkable . Right shoulder arthroplasty is noted .
    OUTPUT:
    
No acute cardiopulmonary process .