Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lateral view is suboptimal as the patient 's arms obscure assessment of the parenchyma . Heart size is normal . The mediastinal and hilar contours are unremarkable and unchanged . The pulmonary vascularity is normal . No focal consolidation , pleural effusion or pneumothorax is present . Multilevel degenerative changes are seen in the imaged thoraco - lumbar spine . Severe degenerative changes of the right glenohumeral joint are also noted .
    OUTPUT:
    
No acute cardiopulmonary abnormality .