Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Given lordotic positioning , the lungs are clear . There is no focal consolidation nor effusion . The cardiomediastinal silhouette is within normal limits . Tortuosity of the descending thoracic aorta is noted . Left chest wall device with lead extending to the neck is again noted . There is apparent malalignment of the right shoulder , suspicious for anterior dislocation which was present on prior .
    OUTPUT:
    
No acute cardiopulmonary process . Apparent dislocation of the right shoulder .