Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . Cardiac silhouette is normal in size . There is no pleural effusion , pneumothorax , pneumonia or pulmonary edema . An overall limited evaluation of the bony structures due to technique is negative for acute pathology . Degenerative changes are seen at bilateral glenohumeral joints with probable loss of the normal joint space .
    OUTPUT:
    
No evidence of acute cardiopulmonary process . No evidence of gross bony abnormality on these non-dedicated views . Further dedicated osseous radiography can be considered for full evaluation .