Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation . Silhouetting of the lower right cardiac margin is due to a fat pad , unchanged . There is no effusion or pneumothorax . The cardiomediastinal silhouette is stable . Left shoulder hemiarthroplasty changes are noted . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .