Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low which accentuates the size of the cardiac silhouette which appears mildly enlarged . Aorta is unfolded . The mediastinal and hilar contours are otherwise unremarkable . Pulmonary vasculature is not engorged . Attenuation of pulmonary vascular markings towards the apices suggests underlying emphysema . No focal consolidation , pleural effusion or pneumothorax is present . Degenerative changes are present within both glenohumeral joints with marked narrowing of the right acromiohumeral interval suggestive of rotator cuff disease .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Emphysema .