Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart appears borderline enlarged in size . The mediastinal and hilar contours are probably within normal limits for technique . There is no pleural effusion or pneumothorax . The lungs appear clear . The bones are probably demineralized . Each acromiohumeral interval is effaced , suggesting rotator cuff tears , with severe degenerative changes .
    OUTPUT:
    
No evidence of acute disease . Borderline cardiomegaly .