Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are poorly expanded , accounting for bronchovascular crowding . Some bibasilar atelectasis is present , but there is no definite focal consolidation . Cardiomediastinal contour is unremarkable . There is no pleural effusion or pneumothorax . Severe degenerative changes of the right shoulder are re-demonstrated . This study is underpenetrated and suboptiaml for assessment of bony structures . Spinal fixation rods and screws are present , without evidence of hardware - related complication . A left - sided PICC line has been removed in the interval . There are likely degenerative changes at the right shoulder , not well assessed .
    OUTPUT:
    
Bibasilar atelectasis . No evidence of acute cardiopulmonary process . If concern for scapular or other fracture , recommend dedicated imaging of the site .