Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral chest radiographs are somewhat limited by rotation to the left . Median sternotomy wires and CABG clips are noted . Moderate cardiomegaly is unchanged . There is no focal consolidation , pleural effusion , or pneumothorax . However , left pleural thickening is noted and appears chronic . Degenerative changes of the glenohumeral joints are severe .
    OUTPUT:
    
No acute cardiopulmonary process .