Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are compared to previous exam from ___ . The lungs remain clear of consolidation . Note is made of bilateral nipple shadows at the lung bases . There is no effusion or pulmonary vascular congestion . Cardiomediastinal silhouette is within normal limits . Osseous and soft tissue structures are unchanged , noting degenerative changes at the left glenohumeral joint .
    OUTPUT:
    
No acute cardiopulmonary process .